Individual provider Active NPI

Jaysa Lynn Zoller, PT

  • Physical Therapist
  • Wamego, KS
National Provider Identifier
1356150296
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
T-06246 Issued in KS
Practice address
1701 Commercial Cir Ste 3
Wamego, KS 66547-9690
Phone
(785) 456-1570
Fax
(785) 456-1571
NPI assigned
Jan 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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 T-06246 KS Primary

Addresses

Primary practice location

1701 Commercial Cir Ste 3
Wamego, KS 66547-9690

Mailing address

1701 Commercial Cir Ste 3
Wamego, KS 66547-9690
Phone (785) 456-1570

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250312003515 KS Practitioner - Physical Therapist in Private Practice 8426579962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Price Physical Therapy LLCGroup PAC ID 2567801285, 2 clinicians

Practice addresses (Care Compare)

1701 Commercial Cir
Suite 3
Wamego, KS 66547-9690
Phone (785) 456-1570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T-06246KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Price Physical Therapy, LLC Physical Therapist CurrentSince Feb 19, 2025 Accepting new patients

Locations

1701 Commercial Cir
Ste 3
Wamego, KS 66547
Phone (785) 456-1570

Organizations & group practices 1

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": "1736121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1356150296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 COMMERCIAL CIR STE 3",
            "city": "WAMEGO",
            "state": "KS",
            "postal_code": "665479690",
            "telephone_number": "785-456-1570",
            "fax_number": "785-456-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 COMMERCIAL CIR STE 3",
            "city": "WAMEGO",
            "state": "KS",
            "postal_code": "665479690",
            "telephone_number": "785-456-1570",
            "fax_number": "785-456-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLLER",
        "first_name": "JAYSA",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "T-06246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wamego, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.