Colleen Kortokrax

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

425 Belmont St
Sidney, OH 45365-1707

Phone

(937) 497-2275

NPI assigned

Aug 27, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1154979961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 DEBBIE DR",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458071218",
            "telephone_number": "937-638-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 BELMONT ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453651707",
            "telephone_number": "937-497-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORTOKRAX",
        "first_name": "COLLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Ann Kirsch, M.A. CCC-SLP
• Sarah Elizabeth Klein, M.A., CCC-SLP
• Jeffrey Kent Knoderer, DC
• Whitney Maryruth Knoop, FNP
• H. Bruce Koch, MD
• Brian Hugh Kramer, P.T
• Kambrilyn Kratzer
• Amy Renae Krites, MSW, LISW
• Kroger Limited Partnership I
• Krista Kron, RN

• Speech-Language Pathologist in Sidney, OH
• Providers in Sidney, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.