Individual provider Active NPI

Eileen E Blahut, PT

  • Physical Therapist
  • Frederick, MD
National Provider Identifier
1235428442
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19471 Issued in MD
Practice address
86 Thomas Johnson CT
Frederick, MD 21702-4348
Phone
(301) 694-8311
Fax
(301) 694-3537
NPI assigned
Mar 29, 2011
Last updated
Feb 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 19471 MD Primary

Addresses

Primary practice location

86 Thomas Johnson CT
Frederick, MD 21702-4348

Mailing address

PO Box 79831
Baltimore, MD 21279-0831
Phone (301) 694-8311

Other practice location 1

10220 River Rd Ste 2
MZ Physical Therapy
Potomac, MD 20854-4907
Phone (301) 299-0648

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eileen.blahut.1@3812.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140310000037 MD Practitioner - Physical Therapist in Private Practice 7810138385 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
86.7
Promoting interoperability
100
Improvement activities
40
Cost
73.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19471MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Dec 1, 2013 Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Nisenfeld & Chilton, M.D., P.a. CurrentSince Oct 22, 2013 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Dec 1, 2013 Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients

Locations

161 Thomas Johnson Dr
Ste 100
Frederick, MD 21702
Phone (301) 579-7811

165 Thomas Johnson Dr
Ste E
Frederick, MD 21702

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

Interoperability endpoints

  • Direct secure messaging: eileen.blahut.1@3812.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1235428442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79831",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212790831",
            "telephone_number": "301-694-8311",
            "fax_number": "301-694-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 THOMAS JOHNSON CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024348",
            "telephone_number": "301-694-8311",
            "fax_number": "301-694-3537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10220 River Rd Ste 2",
            "address_2": "MZ Physical Therapy",
            "address_purpose": "LOCATION",
            "city": "Potomac",
            "state": "MD",
            "postal_code": "208544907",
            "country_code": "US",
            "telephone_number": "301-299-0648",
            "fax_number": "301-299-0649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAHUT",
        "first_name": "EILEEN",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eileen.blahut.1@3812.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "10220 River Rd Ste 2",
            "address_2": "MZ Physical Therapy",
            "city": "Potomac",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208544907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.