Individual provider Active NPI

Alyssa Marie Zoller, PT

  • Physical Therapist
  • Kansas City, MO
National Provider Identifier
1740919034
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-07021 Issued in KS
Practice address
601 E 63Rd St Ste 230
Kansas City, MO 64110-3303
Phone
(816) 569-2802
NPI assigned
Jun 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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 11-07021 KS Primary

Addresses

Primary practice location

601 E 63Rd St Ste 230
Kansas City, MO 64110-3303

Mailing address

5110 W 51St Ter
Roeland Park, KS 66205-2101
Phone (573) 268-4569

Other practice location 1

672 SE Bayberry Ln Ste 101
Lees Summit, MO 64063-4262
Phone (816) 434-5180

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220716000366 MO Practitioner - Physical Therapist in Private Practice 2466833868
I20241205003807 KS Practitioner - Physical Therapist in Private Practice 2466833868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Foundational Concepts IncGroup PAC ID 2961648126, 18 clinicians

Practice addresses (Care Compare)

6701 W 121St St
Suite 300
Overland Park, KS 66209-2034
Phone (913) 498-8492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-07021KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Amanda Fisher DPT LLC Physical Therapist CurrentSince Jun 8, 2022 Accepting new patients
Foundational Concepts, Inc. Physical Therapist CurrentSince Nov 11, 2024 Accepting new patients
Jennifer Worth MSW, LCSW, LLC CurrentSince Nov 11, 2024 Accepting new patients

Locations

6701 W 121st St
Ste 300
Overland Park, KS 66209
Phone (816) 312-5451

601 E 63rd St
Ste 230
Kansas City, MO 64110
Phone (816) 312-5451

672 SE Bayberry Ln
Ste 101
Lees Summit, MO 64063
Phone (816) 281-7558

Organizations & group practices 3

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": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1740919034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 W 51ST TER",
            "city": "ROELAND PARK",
            "state": "KS",
            "postal_code": "662052101",
            "telephone_number": "573-268-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 63RD ST STE 230",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641103303",
            "telephone_number": "816-569-2802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "672 SE Bayberry Ln Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640634262",
            "country_code": "US",
            "telephone_number": "816-434-5180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZOLLER",
        "first_name": "ALYSSA",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-07021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.