Individual provider Active NPI

Austin M Shrout, PT

  • Physical Therapist
  • Belton, MO
National Provider Identifier
1609443944
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2021020572 Issued in MO
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 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 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

Enrollment IDStateProvider typePAC IDDetails
I20210902000446 MO Practitioner - Physical Therapist in Private Practice 1355747155 Reassigns benefits to 2 organizations

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
Northland Physical Therapy and Rehab Services IncGroup PAC ID 1850370453, 120 clinicians

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

LicenseStateTypeSpecialty
2021020572MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Exercise Therapy Consultants, Inc. Physical Therapist CurrentSince Aug 18, 2021 Accepting new patients
KC Chiro, LLC PastSince Nov 8, 2024 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.

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.

Verify at the official NPI Registry.