Active NPI
Michael Damot, PT
- Physical Therapist
- Smithville, MO
National Provider Identifier
1679962682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2005019709
- Practice address
- 106 Hospital Dr
Smithville, MO 64089-9333 - Phone
- (816) 532-0888
- NPI assigned
- Jan 13, 2015
- Last updated
- Jan 13, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 2005019709 | MO | Primary |
Addresses
Primary practice location
106 Hospital Dr
Smithville, MO 64089-9333
Mailing address
10815 N Smalley CT
Kansas City, MO 64157-7500
Phone (660) 528-0290
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, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 1St Capitol Dr
Apt 1
Saint Charles, MO 63301-1660
Phone (636) 242-1764
9101 N Ambassador Dr
Kansas City, MO 64154-7295
Phone (816) 631-0847
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005019709 | MO | MD | Physical Therapist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba EmpowerMe Rehab St. Charles
- Multi-Specialty Clinic/Center
- Saint Charles, MO
- NPI 1417479494
-
- Multi-Specialty Clinic/Center
- Kansas City, MO
- NPI 1083208391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421107200000",
"number": "1679962682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10815 N SMALLEY CT",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641577500",
"telephone_number": "660-528-0290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 HOSPITAL DR",
"city": "SMITHVILLE",
"state": "MO",
"postal_code": "640899333",
"telephone_number": "816-532-0888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMOT",
"first_name": "MICHAEL",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-13",
"last_updated": "2015-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2005019709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.