Madeline Elizabeth Daum, PT, DPT
NPI 1629705959ActiveIndividual· Physical Therapist· Lees Summit, MO
Physical Therapist (PT, DPT) with Boost Sports Performance LLC, practicing in Lees Summit, Missouri. Medicare paid $27,937 for services to 27 patients in 2024.
Overview
| NPI | 1629705959 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Aug 5, 2022 |
| Last updated in NPPES | Sep 28, 2026 |
| Certified by provider | Sep 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2022030937 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 27 |
|---|---|
| Services billed | 1,355 across 7 procedure codes |
| Paid by Medicare | $27,937 |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Boost Sports Performance LLCLees Summit, MO · 4 clinicians
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All 142 physical therapists in Lees Summit · All physical therapists in Missouri