Individual provider Active NPI

Coltin Bass, DPT

  • Physical Therapist
  • Independence, MO
National Provider Identifier
1336949809
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2025007886 Issued in MO
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

Updated by the provider on Jan 6, 2026

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 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

TypeEndpointUseAffiliation
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

Enrollment IDStateProvider typePAC IDDetails
I20250411000289 MO Practitioner - Physical Therapist in Private Practice 5395269351 Reassigns benefits to 2 organizations

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
Blue Ridge Physical Therapy, IncGroup PAC ID 6305916263, 6 clinicians

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

OrganizationSpecialtyStatusNew patients
Blue Ridge Physical Therapy, Inc Physical Therapist CurrentSince Mar 13, 2025 Accepting new patients
Ascentist Physicians Group, LLC CurrentSince Jan 1, 2026 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.