Individual provider Active NPI

Alexandra Payton Meloy, DPT

  • Physical Therapist
  • North Kansas City, MO
National Provider Identifier
1558186171
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2022026432 Issued in MO
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

Updated by the provider on Nov 19, 2024

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 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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260530000247 MO Practitioner - Physical Therapist in Private Practice 0244700284 Reassigns benefits to 3 organizations
I20260617003131 KS Practitioner - Physical Therapist in Private Practice 0244700284 Reassigns benefits to 2 organizations

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, LLCGroup PAC ID 9830504836, shared by 6 NPIs, 152 clinicians
Key Rehabilitation IncGroup PAC ID 9638086432, 59 clinicians

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

LicenseStateTypeSpecialty
11-06998KSMDPhysical Therapist
2022026432MOMDPhysical 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.

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.

Verify at the official NPI Registry.