Active NPI
Coltin Bass, DPT
- Physical Therapist
- Independence, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2025007886
- Practice address
- 4900 S Arrowhead Dr Ste B
Independence, MO 64055-6990 - Phone
- (816) 478-4200
- Fax
- (816) 875-2597
- NPI assigned
- Mar 14, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2025007886 | MO | Primary |
Addresses
Primary practice location
4900 S Arrowhead Dr Ste B
Independence, MO 64055-6990
Mailing address
5101 College Blvd
Leawood, KS 66211-1614
Phone (913) 721-3387
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | coltin.bass.1@12752.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4900 S Arrowhead Dr
Suite B
Independence, MO 64055-6990
Phone (816) 795-6999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Ascentist Physicians Group, LLC | Current | Accepting new patients |
Locations
5101 College Blvd
Overland Park, KS 66211
4900 S Arrowhead Dr
Ste B
Independence, MO 64055
Phone (816) 795-6999
4880 NE Goodview Cir
Lees Summit, MO 64064
Phone (816) 246-1456
Interoperability endpoints
- coltin.bass.1@12752.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Physical Therapist
- Independence, MO
- NPI 1477596500
-
- Otolaryngology Physician
- Lees Summit, MO
- NPI 1649206319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1336949809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5101 COLLEGE BLVD",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662111614",
"telephone_number": "913-721-3387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 S ARROWHEAD DR STE B",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640556990",
"telephone_number": "816-478-4200",
"fax_number": "816-875-2597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "COLTIN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-14",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2025007886",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "coltin.bass.1@12752.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "EHR Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4900 S Arrowhead Dr Ste B",
"city": "Independence",
"state": "MO",
"country_code": "US",
"postal_code": "640556990",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.