Individual provider Active NPI

Michael Scott Blubaugh, MSPT,LMT

  • Physical Therapist
  • Millington, TN
National Provider Identifier
1104855683
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
117614 Issued in MO
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20080721000595 MO Practitioner - Physical Therapist in Private Practice 7517030760 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-01870KSMDPhysical Therapist
117614MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Jan 2, 2023 Accepting new patients
Ozark Physical Medicine Center for Operations Ozark Plaza and Medical Physical Therapist CurrentSince May 8, 2023 Accepting new patients
Athletico LTD Physical Therapist Current Accepting new patients
Ozark Physical Medicine Center for Operations Ozark Plaza and Medical CurrentSince May 8, 2023 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Jan 2, 2023 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.