Amanda Rae Birdsong
Individual provider Active NPI Physical Therapist · Blue Springs, MO
NPI 1821774258 · NPPES record last updated Jun 22, 2023
Key facts
- NPI
- 1821774258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2023016599 (MO)
- Practice address
- 111 NE Mock Ave
Blue Springs, MO 64014-2503 - Phone
- (816) 220-4200
- NPI assigned
- Jun 22, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023016599 | MO | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2023016599 | MO | Yes |
Addresses
Primary practice location
111 NE Mock Ave
Blue Springs, MO 64014-2503
Mailing address
423 SW Joseph LN
Grain Valley, MO 64029-8411
Phone (816) 844-1496
Other providers in Blue Springs, MO
- Mary A Billings
- Catherine Anne Billington
- Sierra Lynn Binns
- Bio-Medical Applications of Blue Springs, Inc.
- Linda Bird
- Bree Anna Marie Bishop
- Kathleen Marie Bishop
- Daniel K Bixler
- Michael Lee Blair
- Angela Blankenship
All providers in Blue Springs, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.