Alyssa M Lincoln, DPT

Individual provider Active NPI Physical Therapist · Jennings, MO

NPI 1104575679 · NPPES record last updated Mar 22, 2022

Key facts

NPI
1104575679
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
Practice address
8023 W Florissant Ave Ste a
Jennings, MO 63136-1448
Phone
(314) 833-1000
Fax
(314) 833-1001
NPI assigned
Mar 22, 2022
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTD (2,187 clinicians)

Practice addresses (Care Compare)

8023 W Florissant Ave
Suite a
Jennings, MO 63136-1448
Phone (314) 833-1000

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100 (group)
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20221024001399 MO Practitioner - Physical Therapist in Private Practice 3274909874 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist Current
since Jul 23, 2022
Accepting new patients
Athletico LTD Physical Therapist Current
since Jul 23, 2022
Accepting new patients
Athletico LTD Physical Therapist Current Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

8023 West Florissant Ave
Ste A
Jennings, MO 63136
Phone (314) 833-1000

229 S Stewart Rd
Ste E3
Liberty, MO 64068
Phone (816) 656-3695

2007 W Foxwood Dr
Ste D
Raymore, MO 64083
Phone (816) 265-8116

1832 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 327-7110

Interoperability endpoints

  • Direct secure messaging: alyssa.lincoln.p2@direct.athleticoltd.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X MO Yes

Addresses

Primary practice location

8023 W Florissant Ave Ste a
Jennings, MO 63136-1448

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6250

Other providers in Jennings, MO

All providers in Jennings, MO · Physical Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.