Amber Dyan Barham, PTA
Physical Therapy Assistant in Blue Springs, MO. Individual provider (NPI-1).
NPI number1457740243
StatusActive
Last updated in NPPESFeb 8, 2017
Details
- NPI
- 1457740243
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amber Dyan Barham
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 15, 2015
- Last updated
- Feb 8, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 2016013016 | MO | Yes |
| 225200000X | Physical Therapy Assistant | 66 009768 | NY |
Other names
- Amber Dyan Blodgette (Former Name)
Practice location
505 Ne Adams Dairy PkwyBlue Springs, MO 64014-5487
Phone 816-988-2800
Mailing address
841 Ne Independence CtLees Summit, MO 64063-2567
Phone 816-642-4394
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapy Assistant providers in Blue Springs, MO
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All 33 Physical Therapy Assistant providers in Blue Springs · All 1,075 providers in Blue Springs
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