Mariia Kolesnikova, PTA,LMT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA.0015169 Issued in CO

Practice address

1235 Lake Plaza Dr Ste 221
Colorado Springs, CO 80906-3556

Phone

(719) 271-9663

NPI assigned

May 24, 2022

Last updated

Jan 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1073251765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3923 BERKLEY CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809066371",
            "telephone_number": "302-864-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 LAKE PLAZA DR STE 221",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063556",
            "telephone_number": "719-271-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLESNIKOVA",
        "first_name": "MARIIA",
        "credential": "PTA,LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "0026233",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "PTA.0015169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DIVISION OF PROFESSIONS AND REGULATIONS",
            "identifier": "PTA.0015169",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle E. Kolb, M.D., P.A.
• Paige Marie Kolcharno, MA
• Kathryn Koldenhoven, LCSW
• Tiffany Koldenhoven
• Justin Ian Kole
• Sarah Koller, MA, LPC
• Jennifer Kollman, MD
• Rich Kolosso
• Ian Kipkosgei Kolum, DC
• Arlene Joy Godinez Kolz, DDS

• Physical Therapy Assistant in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.