Individual provider Active NPI

Micah JB Hunt, PT, MPT

  • Physical Therapist
  • Independence, MO
National Provider Identifier
1992748925
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2006022620 Issued in MO
Practice address
20120 E Jackson Dr Ste B
Independence, MO 64057-2153
Phone
(816) 829-4050
Fax
(816) 829-4049
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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 2006022620 MO Primary

Addresses

Primary practice location

20120 E Jackson Dr Ste B
Independence, MO 64057-2153

Mailing address

20120 E Jackson Dr Ste B
Independence, MO 64057-2153
Phone (816) 829-4050

Other identifiers 2

IdentifierTypeStateIssuer
MA4370019OtherMOMEDICARE PTAN
37202071OtherBCBS KC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060817000495 MO Practitioner - Physical Therapist in Private Practice 7315940053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunt4AbetteruGroup PAC ID 9436522372, 3 clinicians

Practice addresses (Care Compare)

20120 E Jackson Dr
Suite B
Independence, MO 64057-2153
Phone (816) 829-4050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2006022620MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hunt4Abetteru Physical Therapist CurrentSince Oct 21, 2022 Accepting new patients
Mid America Balance Institute of Cass County Missouri Past Accepting new patients
Spine & Extremity Rehabilitation Center of Kansas City North Inc Physical Therapist Past Accepting new patients

Locations

20120 E Jackson Dr
Ste B
Independence, MO 64057
Phone (816) 829-4050

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1992748925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20120 E JACKSON DR STE B",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572153",
            "telephone_number": "816-829-4050",
            "fax_number": "816-829-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20120 E JACKSON DR STE B",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572153",
            "telephone_number": "816-829-4050",
            "fax_number": "816-829-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "MICAH",
        "middle_name": "JB",
        "credential": "PT,  MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2006022620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "MA4370019",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KC",
            "identifier": "37202071",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.