ALLYSA GANN (PT, DPT) – Physical Therapist, NPI 1184306490

ALLYSA GANN (PT, DPT) is a healthcare provider. based in Lees summit, Missouri. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 2023031905 (MO). The NPI Number for ALLYSA GANN (PT, DPT) is 1184306490

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
ALLYSA GANN (PT, DPT)
NPI
1184306490
Phone
Not provided
Address
1634 SE 5TH ST
Enumeration Date
4 August 2023
Last Update Date
4 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8162721427
Graduation Year
2023 (3 years ago)
PAC ID
6103288907
Group Practice PAC ID
0648575282
Professional Enrollment ID
I20230810002056
Address ID
MO640633805LE806XXPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,533 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO

Provider Addresses for ALLYSA GANN (PT, DPT)

  • 1634 SE 5TH ST

    LEES SUMMIT, MO 640636150

    Phone:

    Type: Mailing

  • 806 SW BLUE PKWY

    LEES SUMMIT, MO 640633805

    Phone: (816) 272-1427

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230810002056IPhysical Therapist In Private PracticeMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities28814$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes28217$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes22815$0
97140Therapy procedure using manual technique, each 15 minutes13214$0
View full utilization report →

Insurance plans in this area (ZIP 64063)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648575282View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO

Reviews

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Frequently asked questions

How is ALLYSA GANN (PT, DPT) identified in CMS data?
CMS-hosted NPPES data lists ALLYSA GANN (PT, DPT) with NPI 1184306490.
Is ALLYSA GANN (PT, DPT) listed as active for patients and plans?
The listing shows ALLYSA GANN (PT, DPT) as active in the NPI system.
What is ALLYSA GANN (PT, DPT) best known for clinically?
Directory data describes ALLYSA GANN (PT, DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is ALLYSA GANN (PT, DPT) based?
ALLYSA GANN (PT, DPT) is tied to Lees Summit, Missouri in the data we show; additional addresses may exist on the full record.
Why does ALLYSA GANN (PT, DPT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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