Active NPI
Austin M Shrout, PT
- Physical Therapist
- Belton, MO
National Provider Identifier
1609443944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2021020572
- Practice address
- 1135 E North Ave
Belton, MO 64012-5105 - Phone
- (816) 331-9111
- Fax
- (816) 348-0492
- NPI assigned
- Jun 7, 2021
- Last updated
- Jun 7, 2021
- 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 | 2021020572 | MO | Primary |
Addresses
Primary practice location
1135 E North Ave
Belton, MO 64012-5105
Mailing address
PO Box 320
Belton, MO 64012-0320
Phone (816) 331-9111
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2100 Swift Ave
North Kansas City, MO 64116-3426
Phone (816) 474-8877
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021020572 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exercise Therapy Consultants, Inc. | Physical Therapist | Current | Accepting new patients |
| KC Chiro, LLC | Past | Accepting new patients |
Locations
1135 E North Ave
Belton, MO 64012
Phone (816) 331-0111
1610 N 7 Hwy
Pleasant Hill, MO 64080
Phone (816) 331-9111
Organizations & group practices 3
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.
-
- Physical Therapist
- N Kansas City, MO
- NPI 1740273218
-
- Physical Therapist
- Belton, MO
- NPI 1962414250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623024000000",
"number": "1609443944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 320",
"city": "BELTON",
"state": "MO",
"postal_code": "640120320",
"telephone_number": "816-331-9111",
"fax_number": "816-348-0492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 E NORTH AVE",
"city": "BELTON",
"state": "MO",
"postal_code": "640125105",
"telephone_number": "816-331-9111",
"fax_number": "816-348-0492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHROUT",
"first_name": "AUSTIN",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-07",
"last_updated": "2021-06-07",
"certification_date": "2021-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2021020572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.