Active NPI
Kristina A Zoller, DPT
- Physical Therapist
- Edwards, CO
National Provider Identifier
1396719340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10301
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10301 | CO | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 070 014530 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vail Sports Medicine Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| DPT Holdings PLLC | Physical Therapist | Past | 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.
-
- Physical Therapist
- Vail, CO
- NPI 1508867227
-
- Physical Therapist
- Naperville, IL
- NPI 1801056387
-
- Physical Therapist
- Westmont, IL
- NPI 1205875713
-
- Physical Therapist
- Plainfield, IL
- NPI 1689648602
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.