ETHAN BALOGH DPT
NPI 1932064862
Physical Therapist in Independence, MO

Active since December 23, 2025Accepts Medicare Assignment
3509 S NOLAND RD, INDEPENDENCE, MO 64055(816) 313-2220(816) 897-2390 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ethan Balogh Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN BALOGH DPT (NPI 1932064862) is an individual physical therapist in Independence, Missouri, licensed in Missouri (2026006907) and active in the NPI registry since December 2025. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1932064862
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameETHAN BALOGHCredential: DPT
Location Address3509 S NOLAND RDIndependence, MO 64055-3339
Mailing Address2122 York Rd Ste 300Oak Brook, IL 60523-1925 · (630) 575-6200
Fax(816) 897-2390
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 23, 2025
Last NPPES UpdateFebruary 12, 2026
NPPES CertifiedFebruary 12, 2026
✔ NPI 1932064862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in MO · 2026006907
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
3509 S NOLAND RD, Independence, MO 64055

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ethan Balogh Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032692405
PECOS Enrollment IDI20260313001264

Medicare Billing Reassignments

2

Medicare enrollment records show Ethan Balogh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
501 NW VESPER ST STE A
Blue Springs, MO 64014
  • Reassigned Medicare billing, Missouri enrollment
  • 11 clinicians in this Medicare group
Physical Therapist
229 S STEWART RD STE E-3
Liberty, MO 64068
  • Reassigned Medicare billing, Missouri enrollment
  • 269 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
3509 S NOLAND RD
INDEPENDENCE, MO 64055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Balogh's NPI number?

The NPI number for Ethan Balogh is 1932064862. It was assigned to this individual provider in the NPPES registry on December 23, 2025.

Where is Ethan Balogh located?

Ethan Balogh practices at 3509 S Noland Rd, Independence, MO 64055. The listed phone number is (816) 313-2220.

What is Ethan Balogh's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Ethan Balogh enrolled in Medicare?

Yes. Ethan Balogh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ethan Balogh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Balogh reassigns Medicare benefits to 2 organizations: All In Rehab, LLC (Blue Springs, MO) and Athletico Ltd (Liberty, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ethan Balogh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ethan Balogh accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Kansas City list Ethan Balogh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ethan Balogh was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.