Alexandra Krisik

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-06700 Issued in KS

Practice address

234 W Greenway St
Derby, KS 67037-2641

Phone

(316) 788-6734

Fax

(316) 788-4529

NPI assigned

Sep 15, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Englewood, CO
  • NPI 1265401897

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1003285537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4617 W 20TH ST",
            "address_2": "SUITE A",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343207",
            "telephone_number": "970-352-9022",
            "fax_number": "970-352-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 W GREENWAY ST",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372641",
            "telephone_number": "316-788-6734",
            "fax_number": "316-788-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISIK",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "PTL.0013636",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-06700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassity J Kolterman, PTA
• Kenneth Joseph Kooser, LMFT 03643-T
• Shonda L Kooser, T-MFT 03519-T
• Heather Korntheuer, CPTA
• Hai Minh Koulaboud, PHARM D.
• Chantel Lambert, OTR/L
• Alicia M Landsverk, PHD, LSCSW
• Mahleah Lavin, MT-BC
• Huyen Susan Le
• Tan Viet Le, PHARM.D

• Physical Therapist in Derby, KS
• Providers in Derby, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.