Active NPI
Brittany Kolesar, CO
- Orthotist
- Bellevue, WA
National Provider Identifier
1164844403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- OI 60413632
- Practice address
- 616 120TH Ave NE Ste 111
Bellevue, WA 98005-3048 - Phone
- (425) 451-8831
- Fax
- (425) 450-1598
- NPI assigned
- Jan 6, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | OI 60413632 | WA | Primary |
Addresses
Primary practice location
616 120TH Ave NE Ste 111
Bellevue, WA 98005-3048
Mailing address
616 120TH Ave NE Ste 111
Bellevue, WA 98005-3048
Phone (425) 451-8831
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OI 60413632 | WA | MD | Orthotist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388966400000",
"number": "1164844403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 120TH AVE NE STE 111",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980053048",
"telephone_number": "425-451-8831",
"fax_number": "425-450-1598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 120TH AVE NE STE 111",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980053048",
"telephone_number": "425-451-8831",
"fax_number": "425-450-1598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLESAR",
"first_name": "BRITTANY",
"credential": "CO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-06",
"last_updated": "2014-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "WA",
"license": "OI 60413632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.