Active NPI
Michael Scott Blubaugh, MSPT,LMT
- Physical Therapist
- Millington, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 117614
- Practice address
- 8457 US Highway 51 N Ste 103
Millington, TN 38053-1554 - Phone
- (901) 873-3773
- NPI assigned
- Jun 30, 2006
- Last updated
- Oct 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-01870 | KS | |
| Physical Therapist | 225100000X | 117614 | MO | Primary |
| Physical Therapist | 225100000X | CP063177T | TN |
Addresses
Primary practice location
8457 US Highway 51 N Ste 103
Millington, TN 38053-1554
Mailing address
2318 Somerset Dr
Prairie Village, KS 66206-1244
Phone (913) 526-7220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-01870 | KS | MD | Physical Therapist |
| 117614 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Ozark Physical Medicine Center for Operations Ozark Plaza and Medical | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Ozark Physical Medicine Center for Operations Ozark Plaza and Medical | Current | Accepting new patients | |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Physiotherapy Associates Inc | Past | Accepting new patients | |
| Advanced PT LLC | Physical Therapist | Past | Accepting new patients |
| Physiotherapy Associates Inc | Past | Accepting new patients |
Locations
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
229 S Stewart Rd
Ste E3
Liberty, MO 64068
Phone (816) 656-3695
2705 N Westwood Blvd
Poplar Bluff, MO 63901
Phone (573) 686-5510
2725 N Westwood Blvd
Ste 17
Poplar Bluff, MO 63901
Phone (573) 686-5510
2007 W Foxwood Dr
Ste D
Raymore, MO 64083
Phone (816) 265-8116
603 S Bishop Ave
Ste B
Rolla, MO 65401
Phone (573) 202-6537
1832 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 327-7110
Interoperability endpoints
- michael.blumbaugh.p2@direct.athleticoltd.nextgenshare.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Poplar Bluff, MO
- NPI 1053821322
Physical Therapist
-
dba Athletico Physical Therapy
- Clinic/Center
- Lafayette, IN
- NPI 1053044867
Physical Therapist
-
dba Ozark Home Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Poplar Bluff, MO
- NPI 1669982963
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Loudon, TN
- NPI 1093753097
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791849600000",
"number": "1104855683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2318 SOMERSET DR",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662061244",
"telephone_number": "913-526-7220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8457 US HIGHWAY 51 N STE 103",
"city": "MILLINGTON",
"state": "TN",
"postal_code": "380531554",
"telephone_number": "901-873-3773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUBAUGH",
"first_name": "MICHAEL",
"middle_name": "SCOTT",
"credential": "MSPT,LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2026-10-13",
"certification_date": "2026-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-01870",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "117614",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "CP063177T",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Millington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.