Individual provider Active NPI

Angela Kohler, DPT

  • Physical Therapist
  • Fort Worth, TX
National Provider Identifier
1134769870
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5500 Overton Ridge Blvd Ste 228
Fort Worth, TX 76132-3281
Phone
(817) 259-1255
Fax
(817) 764-9008
NPI assigned
Jan 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

5500 Overton Ridge Blvd Ste 228
Fort Worth, TX 76132-3281

Mailing address

5500 Overton Ridge Blvd Ste 228
Fort Worth, TX 76132-3281
Phone (817) 259-1255

Other names 1

  • Angela Zalesak Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bonnette Elite Physical Therapy and Wellness Physical Therapist CurrentSince Mar 15, 2022 Accepting new patients
Sportherapy Southwest, PC Physical Therapist PastSince Jan 1, 2020 Accepting new patients

Locations

9660 Bartlett Cir
Ste 708
Ft Worth, TX 76108
Phone (817) 862-9665

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1134769870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 OVERTON RIDGE BLVD STE 228",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323281",
            "telephone_number": "817-259-1255",
            "fax_number": "817-764-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 OVERTON RIDGE BLVD STE 228",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323281",
            "telephone_number": "817-259-1255",
            "fax_number": "817-764-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLER",
        "first_name": "ANGELA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "ZALESAK",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.