Alicia Kohles, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3004 Issued in NE

Practice address

3210 N Clarkson St
Fremont, NE 68025-2301

Phone

(402) 753-4853

NPI assigned

Jul 31, 2011

Last updated

Jul 31, 2011By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Innovate Rehab and Wellness LLC

  dba Hillcrest Rehab Services

  • Physical Therapy Clinic/Center
  • Bellevue, NE
  • NPI 1588179923

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1312070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312070400000",
    "number": "1114205721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13584 MARGO ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681385406",
            "telephone_number": "402-416-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 N CLARKSON ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252301",
            "telephone_number": "402-753-4853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLES",
        "first_name": "ALICIA",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-31",
        "last_updated": "2011-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raven Knight, LIMHP
• Luann R Knobbe
• Joey Knoell
• Rodney K Koerber, M.D.
• Anslie Lynn Koethe
• Patti Louise Konwinski, OTD OTR/L
• Jenna Marie Koperski-Bohn
• Ronald L. Korbelik, DPM
• Tina Korth
• Margaret Elizabeth Krause

• Physical Therapist in Fremont, NE
• Providers in Fremont, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2011; 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.