Individual provider Active NPI

Alysa Janke, PT, DPT

  • Physical Therapist
  • Saint Peters, MO
National Provider Identifier
1750066833
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16382-024 Issued in WI
Practice address
2046 Queensbrooke Blvd Ste 101
Saint Peters, MO 63376-7852
Phone
(636) 875-7085
NPI assigned
Jun 16, 2023
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X CP049168T MO
Physical Therapist 225100000X 16382-024 WI Primary

Addresses

Primary practice location

2046 Queensbrooke Blvd Ste 101
Saint Peters, MO 63376-7852

Mailing address

120 Hillside CT
Stoddard, WI 54658-9565
Phone (952) 843-3096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231129001185 WI Practitioner - Physical Therapist in Private Practice 6901264829 Reassigns benefits to 1 organization
I20240226004055 WA Practitioner - Physical Therapist in Private Practice 6901264829 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16382-024WIMDPhysical Therapist
CP049168TMOMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Spine & Sports Medicine LLC CurrentSince Sep 8, 2025 Accepting new patients
Achieve Solutions, Inc. Physical Therapist CurrentSince Oct 18, 2023 Accepting new patients
Multicare Health System CurrentSince Jan 12, 2024 Accepting new patients
Multicare Health System Physical Therapy Current Accepting new patients
Multicare Health System CurrentSince Jan 12, 2024 Accepting new patients
Babar Enterprises LLC Physical Therapist PastSince Jun 21, 2023 Accepting new patients
Physical Therapy Spine & Sports Medicine LLC Physical Therapy PastSince Sep 8, 2025 Accepting new patients

Locations

2046 Queensbrooke Blvd
Ste 101
Saint Peters, MO 63376
Phone (636) 875-7085

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

16101 64th St E
Sumner, WA 98390
Phone (253) 750-0453

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

106 S Holmen Dr
Ste 2
Holmen, WI 54636
Phone (608) 526-6888

1526 Rose St
Ste 103
La Crosse, WI 54603
Phone (608) 784-9998

14400 County Highway B
Ste 186
Sparta, WI 54656
Phone (608) 269-8825

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1750066833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HILLSIDE CT",
            "city": "STODDARD",
            "state": "WI",
            "postal_code": "546589565",
            "telephone_number": "952-843-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2046 QUEENSBROOKE BLVD STE 101",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633767852",
            "telephone_number": "636-875-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANKE",
        "first_name": "ALYSA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": "CP049168T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "16382-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.