Active NPI
Alyssa Darlak, DPT
- Physical Therapist
- Kirkwood, MO
National Provider Identifier
1194482349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2021036525
- Practice address
- 1001 S Kirkwood Rd
Kirkwood, MO 63122-7254 - Phone
- (314) 821-5300
- Fax
- (314) 821-6369
- NPI assigned
- Nov 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2021036525 | MO | Primary |
Addresses
Primary practice location
1001 S Kirkwood Rd
Kirkwood, MO 63122-7254
Mailing address
1001 S Kirkwood Rd
Kirkwood, MO 63122-7254
Phone (314) 821-5300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659511988 | Medicaid | MO | |
| 1659511988 | Other | MO | COMMERCIAL PAYORS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ADarlak@ssm-select.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021036525 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1194482349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 S KIRKWOOD RD",
"city": "KIRKWOOD",
"state": "MO",
"postal_code": "631227254",
"telephone_number": "314-821-5300",
"fax_number": "314-821-6369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 S KIRKWOOD RD",
"city": "KIRKWOOD",
"state": "MO",
"postal_code": "631227254",
"telephone_number": "314-821-5300",
"fax_number": "314-821-6369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARLAK",
"first_name": "ALYSSA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-23",
"last_updated": "2021-11-23",
"certification_date": "2021-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2021036525",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1659511988",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL PAYORS",
"identifier": "1659511988",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ADarlak@ssm-select.com",
"affiliation": "N",
"endpointDescription": "protected e-mail address for exchange of health information",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "communication between patients",
"address_1": "1001 S Kirkwood Rd",
"city": "Kirkwood",
"state": "MO",
"country_code": "US",
"postal_code": "631227254",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Kirkwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.