Individual provider Active NPI

Stasha Blount, DPT

  • Physical Therapist
  • Sand Springs, OK
National Provider Identifier
1255912010
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1188010 Issued in TX
Practice address
17287 W 32ND St S
Sand Springs, OK 74063-4774
Phone
(918) 289-6765
NPI assigned
Apr 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1188010 TX Primary

Addresses

Primary practice location

17287 W 32ND St S
Sand Springs, OK 74063-4774

Mailing address

615 E Latimer PL
Tulsa, OK 74106-4833
Phone (979) 559-1471

Other names 1

  • Stasha Sampson-Blount Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221024001226 TX Practitioner - Physical Therapist in Private Practice 5496121097 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

23530 Kingsland Blvd
Katy, TX 77494-7466
Phone (281) 733-2863

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1188010TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Sep 1, 2022 Accepting new patients
Baylor College of Medicine CurrentSince Sep 4, 2024 Accepting new patients
Community Therapy Solutions, LLC Physical Therapist CurrentSince Apr 20, 2021 Accepting new patients
Baylor College of Medicine CurrentSince Sep 4, 2024 Accepting new patients
BHS Physicians Network, Inc CurrentSince Sep 1, 2022 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients
New Medical Horizons II, LTD. Past Accepting new patients

Locations

915 Gessner Rd
Ste 470
Houston, TX 77024
Phone (713) 722-7454

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

5655 W Sam Houston Pkwy N
Houston, TX 77041
Phone (281) 500-8900

23530 Kingsland Blvd
Ste 302
Katy, TX 77494
Phone (281) 733-2863

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: stasha.blount.1@1438.direct.athenahealth.com

Organizations & group practices 7

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": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1255912010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E LATIMER PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741064833",
            "telephone_number": "979-559-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17287 W 32ND ST S",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740634774",
            "telephone_number": "918-289-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOUNT",
        "first_name": "STASHA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1188010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STASHA",
            "last_name": "SAMPSON-BLOUNT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sand Springs, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.