Mariah Kolbo

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT17905 Issued in CA

Practice address

1935 Wharf Rd
Capitola, CA 95010-2606

Phone

(831) 476-0770

NPI assigned

Dec 12, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1733961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1083421143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MONTEREY AVE",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950103613",
            "telephone_number": "308-293-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 WHARF RD",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102606",
            "telephone_number": "831-476-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLBO",
        "first_name": "MARIAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT17905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Mathew Koch
• Michele Annette Koch, PT, CLT-LANA, WCC
• Bruce Daniel Koehler, D.C.
• Jason Andrew Koehler, MA, MFTI
• Benjamin J Kohn, O.D.
• Michael Andrew Koplen, D.C.
• Jennifer Kortright
• Elizabeth Kovacevich, MFT
• River Krimmer, LMFT
• Robert Laurence Kronisch, M.D.

• Occupational Therapist in Capitola, CA
• Providers in Capitola, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.