Individual provider Active NPI

Michele R Ivans, MSPT

  • Physical Therapist
  • Platte City, MO
National Provider Identifier
1073593190
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2005003641 Issued in MO
Practice address
2425 NW Prairie View Rd
Platte City, MO 64079-7627
Phone
(816) 858-3250
Fax
(816) 858-3253
NPI assigned
Jan 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2005003641 MO Primary
Physical Therapist 225100000X 11-03404 KS

Addresses

Primary practice location

2425 NW Prairie View Rd
Platte City, MO 64079-7627

Mailing address

942 Rose Ave
Burlington, CO 80807-1815
Phone (719) 346-6050

Other identifiers 1

IdentifierTypeStateIssuer
35214014OtherMOBLUE CROSS & BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-03404KSMDPhysical Therapist
2005003641MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Schaal Physical Therapy and Fitness Physical Therapist CurrentSince Aug 17, 2020 Accepting new patients

Locations

942 Rose Ave
Burlington, CO 80807
Phone (719) 346-6050

334 S 13th St
Burlington, CO 80807
Phone (719) 346-6050

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073593190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 ROSE AVE",
            "city": "BURLINGTON",
            "state": "CO",
            "postal_code": "808071815",
            "telephone_number": "719-346-6050",
            "fax_number": "719-346-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 NW PRAIRIE VIEW RD",
            "city": "PLATTE CITY",
            "state": "MO",
            "postal_code": "640797627",
            "telephone_number": "816-858-3250",
            "fax_number": "816-858-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVANS",
        "first_name": "MICHELE",
        "middle_name": "R",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2026-07-13",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2005003641",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-03404",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "35214014",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Platte City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.