THOMAS BALLENGER MSPT
NPI 1174569511
Physical Therapist in Rising Sun, MD

Active since June 22, 2006Accepts Medicare Assignment
94.35/100
CMS Quality Rating
52 RISING SUN TOWN CTR, RISING SUN, MD 21911(410) 658-0100(410) 658-0199 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Thomas Ballenger Mspt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS BALLENGER MSPT (NPI 1174569511) is an individual physical therapist in Rising Sun, Maryland, licensed in Maryland (20892) and active in the NPI registry since June 2006. He is a graduate of Other (2003).

NPPES Registry Identity

NPI1174569511
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameTHOMAS BALLENGERCredential: MSPT
Location Address52 RISING SUN TOWN CTRRising Sun, MD 21911-1902
Mailing Address2001 Butterfield Rd Ste 1600Downers Grove, IL 60515-1211
Fax(410) 658-0199
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJune 22, 2006
Last NPPES UpdateJanuary 17, 2025
NPPES CertifiedJanuary 17, 2025
NPI 1174569511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses Licensed in MD · 20892 Licensed in DE · J10001666
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

52 RISING SUN TOWN CTR, Rising Sun, MD 21911

Other Identifiers 4

Other5070-0024Care First
Other61809001Nca
Medicaid1174569511DE
Other2410592000PA · Amerihealth

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Thomas Ballenger Mspt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618974031
PECOS Enrollment IDI20061027000298

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
1,916 services202 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
1,382 services204 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
1,162 services164 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
371 services89 patients
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
277 services37 patients
Evaluation for physical therapy, typically 45 minutes 97163
An evaluation for physical therapy is a comprehensive assessment of your body's functionality. It typically takes 45 minutes and involves tests to determine your strength, flexibility, balance, and pain levels. This information is crucial to create a personalized therapy plan to improve your mobility and comfort.
100 services91 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21911 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.36
Improvement Activities40

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
52 RISING SUN TOWN CTR
RISING SUN, MD 21911
Physical Therapist
52 RISING SUN TOWN CTR
RISING SUN, MD 21911
Physical Therapist
52 RISING SUN TOWN CTR
RISING SUN, MD 21911
Physical Therapist
52 RISING SUN TOWN CTR
RISING SUN, MD 21911
Physical Therapist
52 RISING SUN TOWN CTR
RISING SUN, MD 21911
Physical Therapist
52 RISING SUN TOWN CTR
RISING SUN, MD 21911
Physical Therapist
52 RISING SUN TOWN CTR
RISING SUN, MD 21911
Physical Therapist
52 RISING SUN TOWN CTR
RISING SUN, MD 21911

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Ballenger's NPI number?

The NPI number for Thomas Ballenger is 1174569511. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Thomas Ballenger located?

Thomas Ballenger practices at 52 Rising Sun Town Ctr, Rising Sun, MD 21911. The listed phone number is (410) 658-0100.

What is Thomas Ballenger's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Thomas Ballenger enrolled in Medicare?

Yes. Thomas Ballenger is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Thomas Ballenger was last updated on January 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.