Active NPI
Michael G Tipton, PT
- Physical Therapist
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2000153028
- Practice address
- 2900 Trimble Rd Ste 101
Columbia, MO 65201 - Phone
- (573) 397-7036
- Fax
- (573) 734-0730
- NPI assigned
- Jul 5, 2006
- 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 | 2000153028 | MO | Primary |
Addresses
Primary practice location
2900 Trimble Rd Ste 101
Columbia, MO 65201
Mailing address
600 Oakmont LN
Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-1980
Other practice location 1
3301 Berrywood Dr
Suite 204
Columbia, MO 65201-6517
Phone (573) 449-8771
Other practice location 2
3301 Berrywood Dr
Suite 204
Columbia, MO 65201-6517
Phone (573) 449-8771
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, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2007 W Foxwood Dr
Suite D
Raymore, MO 64083-9589
Phone (816) 265-8116
4004 Peach CT
Suite H
Columbia, MO 65203-3800
Phone (573) 256-8100
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chas Physician Services LLC | Past | Accepting new patients |
Interoperability endpoints
- michael.tipton.p2@direct.athleticoltd.nextgenshare.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
- Liberty, MO
- NPI 1114449857
-
- Cardiovascular Disease Physician
- Columbia, MO
- NPI 1629301163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1487685863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 OAKMONT LN",
"address_2": "STE 600C",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595548",
"telephone_number": "630-575-1980",
"fax_number": "630-928-5080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 TRIMBLE RD STE 101",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "65201",
"telephone_number": "573-397-7036",
"fax_number": "573-734-0730"
}
],
"practiceLocations": [
{
"address_1": "3301 Berrywood Dr",
"address_2": "Suite 204",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652016517",
"country_code": "US",
"telephone_number": "573-449-8771",
"fax_number": "573-449-6563",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3301 Berrywood Dr",
"address_2": "Suite 204",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652016517",
"country_code": "US",
"telephone_number": "573-449-8771",
"fax_number": "573-449-6563",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIPTON",
"first_name": "MICHAEL",
"middle_name": "G",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2000153028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.