Active NPI
Alyssa Marie Zoller, PT
- Physical Therapist
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-07021
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, KS
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11-07021 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Amanda Fisher DPT LLC | Physical Therapist | Current | Accepting new patients |
| Foundational Concepts, Inc. | Physical Therapist | Current | Accepting new patients |
| Jennifer Worth MSW, LCSW, LLC | Current | 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.
-
- Physical Therapy Clinic/Center
- Kansas City, MO
- NPI 1598008294
KS, Physical Therapist
-
- Physical Therapist
- Lees Summit, MO
- NPI 1033659610
-
- Adult Mental Health Clinic/Center
- Kansas City, MO
- NPI 1104309822
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.