Individual provider Active NPI

Kristina A Zoller, DPT

  • Physical Therapist
  • Edwards, CO
National Provider Identifier
1396719340
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10301 Issued in CO
Practice address
1140 Edwards Vill Blvd
B208
Edwards, CO 81632-4828
Phone
(970) 569-3883
Fax
(970) 569-3884
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10301 CO Primary
Physical Therapist 225100000X 070 014530 IL

Addresses

Primary practice location

1140 Edwards Vill Blvd
B208
Edwards, CO 81632-4828

Mailing address

PO Box 4828
Edwards, CO 81632-4828
Phone (970) 569-3883

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
10301COMDOrthodontics and Dentofacial Orthopedic Dentist
070 014530ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vail Sports Medicine Physical Therapy PC Physical Therapist CurrentSince Sep 7, 2020 Accepting new patients
DPT Holdings PLLC Physical Therapist PastSince Jun 1, 2012 Accepting new patients
Accelerated Rehabilitation Centers LTD Physical Therapist Past Accepting new patients
A Kraai LTD Physical Therapist Past Accepting new patients

Locations

1295 Westhaven Dr
Vail, CO 81657
Phone (970) 476-7510

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1396719340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4828",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816324828",
            "telephone_number": "970-569-3883",
            "fax_number": "970-569-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 EDWARDS VILL BLVD",
            "address_2": "B208",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816324828",
            "telephone_number": "970-569-3883",
            "fax_number": "970-569-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLLER",
        "first_name": "KRISTINA",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "10301",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070 014530",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwards, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.