Individual provider Active NPI

Gabriella Marie Werth, PT, DPT

  • Physical Therapist
  • Overland Park, KS
National Provider Identifier
1174196497
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-06873 Issued in KS
Practice address
4801 W 110TH St Ste 100
Overland Park, KS 66211-1211
Phone
(913) 721-3387
Fax
(816) 875-2597
NPI assigned
Jul 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-06873 KS Primary

Addresses

Primary practice location

4801 W 110TH St Ste 100
Overland Park, KS 66211-1211

Mailing address

5101 College Blvd
Overland Park, KS 66211-1614
Phone (913) 721-3387

Other names 1

  • Gabriella Marie Simora Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gabriella.werth.1@12752.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210817001138 KS Practitioner - Physical Therapist in Private Practice 2466857248 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid America Balance Institute IncGroup PAC ID 9931271335, 8 clinicians

Practice addresses (Care Compare)

4801 W 110TH St
100 Mid America Balance Institute
Overland Park, KS 66211-1211
Phone (816) 246-1456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-06873KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ascentist Physicians Group, LLC CurrentSince Jan 1, 2026 Accepting new patients
Serc Rebabilitation Partners, LLC Physical Therapist CurrentSince Aug 16, 2021 Accepting new patients
Mid America Balance Institute Inc Physical Therapist CurrentSince Jan 17, 2024 Accepting new patients
Serc Rehabilitation Partners, LLC Physical Therapist CurrentSince Aug 16, 2021 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

13035 Kansas Ave
Bonner Springs, KS 66012
Phone (913) 721-6362

2300 Hutton Rd
Ste 106
Kansas City, KS 66109
Phone (913) 728-0386

6640 Johnson Dr
Mission, KS 66202
Phone (913) 384-5600

4801 W 110th St
Ste 200
Overland Park, KS 66211

4801 W 110th St
Ste 100
Overland Park, KS 66211
Phone (816) 246-1456

5101 College Blvd
Overland Park, KS 66211

13847 W 63rd St
Ste 2
Shawnee, KS 66216
Phone (913) 962-7770

13847 W 63rd St
#2
Shawnee, KS 66216
Phone (913) 962-7774

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1174196497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 COLLEGE BLVD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111614",
            "telephone_number": "913-721-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 W 110TH ST STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111211",
            "telephone_number": "913-721-3387",
            "fax_number": "816-875-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERTH",
        "first_name": "GABRIELLA",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-06873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gabriella.werth.1@12752.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "EHR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4801 W 110th St Ste 100",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662111211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GABRIELLA",
            "last_name": "SIMORA",
            "middle_name": "MARIE",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.