Michael Blondell, P.T., M.T.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15798 Issued in MD

Practice address

2300 Bel Air Rd
Fallston, MD 21047-2716

Phone

(410) 877-0222

Fax

(410) 877-2599

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.44 of 100Reported as individual

Quality

82.93

Improvement activities

40

Cost

74.24

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.blondell.1@8042.direct.athenahealth.com

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

• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  MD

  Medicare reassignment Care Compare group NPD
• Atlantic Rehab, Inc

  • Physical Therapy Clinic/Center
  • Glen Burnie, MD
  • NPI 1003855461

  MD, Physical Therapist

  Medicare reassignment NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• Agape Physical Therapy & Sports Rehabilitation LP

  • Physical Therapist
  • Forest Hill, MD
  • NPI 1578900668
  NPD (past)
• Bel Air Dental Care

  • Dentist
  • Fallston, MD
  • NPI 1396909073
  NPD (past)
• Carroll Sports Rehabilitation and Physical Therapy, LLC

  • Physical Therapist
  • Forest Hill, MD
  • NPI 1366457095
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1306866470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 179",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210500179",
            "telephone_number": "410-877-0222",
            "fax_number": "410-877-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 BEL AIR RD",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "210472716",
            "telephone_number": "410-877-0222",
            "fax_number": "410-877-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLONDELL",
        "first_name": "MICHAEL",
        "credential": "P.T., M.T.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "15798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS",
            "identifier": "527031",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fabio C. Beltran, D.D.S.
• Brianna Bennett
• Bergand Group
• Bergand Group
• Katie Ann Bittner-Cassett, CPNP
• Howard H Bond, M.D.
• Thomas Francis Burke, M.D.
• Laura Christine Callahan, RN
• Cambiare Health and Wellness LLC
• Carekinetics,LLC

• Physical Therapist in Fallston, MD
• Providers in Fallston, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.