Individual provider Active NPI

Zachary Thomas Koelling, MPT

  • Physical Therapist
  • Platte City, MO
National Provider Identifier
1376855585
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2007026341 Issued in MO
Practice address
1306 Platte Falls Road
Suite E
Platte City, MO 64079
Phone
(816) 831-3400
Fax
(816) 831-3401
NPI assigned
Jul 6, 2010
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 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 2007026341 MO Primary

Addresses

Primary practice location

1306 Platte Falls Road
Suite E
Platte City, MO 64079

Mailing address

1306 Platte Falls Road
Suite E
Platte City, MO 64079
Phone (816) 831-3400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120503000161 MO Practitioner - Physical Therapist in Private Practice 2466614771 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Missouri, Columbia School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northland Physical Therapy and Rehab Services IncGroup PAC ID 1850370453, 120 clinicians

Practice addresses (Care Compare)

1306 Platte Falls Rd
Suite D
Platte City, MO 64079-7323
Phone (816) 831-3400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2007026341MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Boost Sports Performance, LLC CurrentSince Dec 20, 2011 Accepting new patients
Northland Physical Therapy & Rehab Services, Inc Physical Therapist CurrentSince May 30, 2024 Accepting new patients
KC Chiro, LLC PastSince Nov 8, 2024 Accepting new patients
BSP Kansas PastSince Sep 14, 2022 Accepting new patients

Locations

17011 Bel Ray Blvd
Belton, MO 64012
Phone (816) 425-4523

3801 Selsa Rd
Ste 7
Independence, MO 64057
Phone (816) 795-0434

7601 NW Roanridge Rd
Kansas City, MO 64151
Phone (816) 474-8877

2861 NE Independence Ave
Ste 104
Lees Summit, MO 64064
Phone (816) 272-8538

2105 Kara Ct
Ste 1-A
Liberty, MO 64068
Phone (816) 407-1249

2100 Swift Ave
North Kansas City, MO 64116
Phone (816) 474-8877

1306 Platte Falls Rd
Ste D
Platte City, MO 64079
Phone (816) 831-3400

470 Johnson Rd
Ste 100
Washington, PA 15301

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1376855585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 PLATTE FALLS ROAD",
            "address_2": "SUITE E",
            "city": "PLATTE CITY",
            "state": "MO",
            "postal_code": "64079",
            "telephone_number": "816-831-3400",
            "fax_number": "816-831-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 PLATTE FALLS ROAD",
            "address_2": "SUITE E",
            "city": "PLATTE CITY",
            "state": "MO",
            "postal_code": "64079",
            "telephone_number": "816-831-3400",
            "fax_number": "816-831-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOELLING",
        "first_name": "ZACHARY",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-06",
        "last_updated": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2007026341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Platte City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.