Michael Scott Blubaugh, MSPT,LMT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

117614 Issued in MO

Practice address

211 N 2ND St
Odessa, MO 64076-1135

Phone

(816) 633-4063

Fax

(816) 230-3230

NPI assigned

Jun 30, 2006

Sex

Male

Sole proprietor

No

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.

• Athletico LTD

  • Physical Therapist
  • Liberty, MO
  • NPI 1114449857

  MO, Physical Therapist

  Medicare reassignment NPD
• Ozark Physical Medicine Center for Operations Ozark Plaza and Medical

  • Physical Therapy Clinic/Center
  • Poplar Bluff, MO
  • NPI 1053821322

  MO, Physical Therapist

  Medicare reassignment NPD
• Serc Rehabilitation Partners, LLC

  • Physical Therapist
  • Belton, MO
  • NPI 1760745244

  MO

  Medicare reassignment
• Ozark Physical Medicine Center for Operations Ozark Plaza and Medical

  • Durable Medical Equipment & Medical Supplies
  • Poplar Bluff, MO
  • NPI 1669982963
  NPD
• Athletico LTD

  • Clinic/Center
  • Lafayette, IN
  • NPI 1053044867

  Physical Therapist

  NPD
• Athletico LTD

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1821085028
  NPD
• Advanced PT LLC

  • Physical Therapist
  • Kansas City, MO
  • NPI 1275624447
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.blumbaugh.p2@direct.athleticoltd.nextgenshare.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 2, 2022.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "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": "211 N 2ND ST",
            "city": "ODESSA",
            "state": "MO",
            "postal_code": "640761135",
            "telephone_number": "816-633-4063",
            "fax_number": "816-230-3230"
        }
    ],
    "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": "2022-05-02",
        "certification_date": "2022-05-02",
        "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Amos, LCSW
• Anew Healthcare Operations - Odessa, LLC
• Ahmad W Aslami, D.O.
• Asset RX Inc
• Erin Elizabeth Beerman, PTA
• Teryn Malynne Bor, LMSW
• Elly Bowman, RN
• Bristol Care, Inc.
• Barbara Ann Bryan, LCSW
• Kayla Jo Carrillo, MOT, OTR/L

• All providers in Odessa, MO
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.

Verify at the official NPI Registry.