Thomas Ballenger, MSPT
NPI 1174569511 · Physical Therapist · Rising Sun, MD
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thomas Ballenger, MSPT is a Physical Therapist provider in Rising Sun, MD (NPI 1174569511).
Provider details
- NPI number
- 1174569511
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MSPT
- Sex
- Male
- Sole proprietor
- No
- License
- J10001666 (DE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
5,239 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Functional Activities97530 | 1,916 | $33 |
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 1,382 | $22 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 1,162 | $20 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 371 | $25 |
| Electrical Stimulation (unattended), to One Or More Areas for Indication(s) Other Than Wound Care, As Part of a Therapy Plan of CareG0283 | 277 | $9 |
| Evaluation for Physical Therapy, Typically 45 Minutes97163 | 100 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-22
- Last updated
- 2025-01-17
- Certified
- 2025-01-17
Frequently asked questions
- What is Thomas Ballenger's NPI number?
- Thomas Ballenger's National Provider Identifier (NPI) is 1174569511, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Ballenger's specialty?
- Thomas Ballenger is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Thomas Ballenger located?
- Thomas Ballenger's practice location on file with NPPES is 52 Rising Sun Town Ctr, Rising Sun, MD 21911-1902.
- What is Thomas Ballenger's phone number?
- The practice phone number listed in the NPPES registry for Thomas Ballenger is (410) 658-0100.
- Does Thomas Ballenger accept Medicare?
- Thomas Ballenger is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thomas Ballenger's NPI active?
- Yes — Thomas Ballenger's NPI (1174569511) is active in the NPPES registry as of the last update on 2025-01-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.