Amanda Rae Birdsong

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2023016599 Issued in MO

Practice address

111 NE Mock Ave
Blue Springs, MO 64014-2503

Phone

(816) 220-4200

NPI assigned

Jun 22, 2023

Last updated

Jun 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1821774258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 SW JOSEPH LN",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640298411",
            "telephone_number": "816-844-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NE MOCK AVE",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142503",
            "telephone_number": "816-220-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRDSONG",
        "first_name": "AMANDA",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2023016599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary A Billings, M.S.,C.C.C.
• Catherine Anne Billington, FNP-C
• Sierra Lynn Binns, D.D.S.
• Bio-Medical Applications of Blue Springs, Inc. (Bma Blue Springs)
• Linda Bird, RD, LD
• Bree Anna Marie Bishop, FNP-BC
• Kathleen Marie Bishop
• Daniel K Bixler, MD
• Michael Lee Blair, PH.D.
• Angela Blankenship, ARNP

• Physical Therapist in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.