Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thomas Ballenger, MSPT

Individual provider Physical Therapist · NPI 1174569511

Thomas Ballenger, MSPT is a Physical Therapist in Private Practice in Rising Sun, Maryland. Qualified in 2003, 23 years ago. Practices with Ati Holdings, LLC, a 439-clinician group and accepts Medicare assignment. Licensed in Delaware and Maryland.

Years since qualifying
23
Licensed in
DE, MD
In the registry since
2006
Specialties on file
2

Practice location Address checks out

52 Rising Sun Town Ctr
Rising Sun, MD 21911-1902
Phone: (410) 658-0100
Fax: (410) 658-0199
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 20892 (MD)
Physical Therapist Taxonomy 225100000X · Licence J10001666 (DE)

Record details

NPI number1174569511
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorNo
NPI enumeratedJune 22, 2006
Last updated in NPPESJanuary 17, 2025
Certification dateJanuary 17, 2025
Mailing address2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Ati Holdings, Llc — 439 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rising Sun