Active NPI
Alexandra Payton Meloy, DPT
- Physical Therapist
- North Kansas City, MO
National Provider Identifier
1558186171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2022026432
- Practice address
- 2800 Clay Edwards Dr
North Kansas City, MO 64116-3220 - Phone
- (816) 691-5325
- NPI assigned
- Nov 19, 2024
- 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 | 11-06998 | KS | |
| Physical Therapist | 225100000X | 2022026432 | MO | Primary |
Addresses
Primary practice location
2800 Clay Edwards Dr
North Kansas City, MO 64116-3220
Mailing address
11846 N Kelley Ave
Kansas City, MO 64157-8238
Phone (620) 255-5129
Other names 1
- Alexandra Payton Herrmann
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Empowerme Wellness Kansas City, LLC
Practice addresses (Care Compare)
4100 W 85TH St
Prairie Village, KS 66206-2166
Phone (913) 412-3745
501 W 107TH St
Kansas City, MO 64114-5919
Phone (615) 896-6400
9101 N Ambassador Dr
Kansas City, MO 64154-7295
Phone (816) 631-0847
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-06998 | KS | MD | Physical Therapist |
| 2022026432 | MO | MD | Physical Therapist |
Organizations & group practices 5
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.
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-
- Multi-Specialty Clinic/Center
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- NPI 1417479494
-
- Multi-Specialty Clinic/Center
- Kansas City, MO
- NPI 1083208391
-
- Multi-Specialty Clinic/Center
- Prairie Village, KS
- NPI 1205334521
-
- Multi-Specialty Clinic/Center
- Prairie Village, KS
- NPI 1124619697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1558186171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11846 N KELLEY AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641578238",
"telephone_number": "620-255-5129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 CLAY EDWARDS DR",
"city": "NORTH KANSAS CITY",
"state": "MO",
"postal_code": "641163220",
"telephone_number": "816-691-5325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELOY",
"first_name": "ALEXANDRA",
"middle_name": "PAYTON",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-19",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-06998",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2022026432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXANDRA",
"last_name": "HERRMANN",
"middle_name": "PAYTON",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in North Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.