Thomas Kolenko, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11769 Issued in TX

Practice address

19875 Southwest Fwy Ste 100
Sugar Land, TX 77479-3502

Phone

(832) 886-0385

Fax

(281) 254-7892

NPI assigned

Jul 7, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Physicians Rehab Associates P. a.

  • Chiropractor
  • Victoria, TX
  • NPI 1366630980
  NPD (past)

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1184911364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19875 SOUTHWEST FWY STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793502",
            "telephone_number": "832-886-0385",
            "fax_number": "281-254-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19875 SOUTHWEST FWY STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793502",
            "telephone_number": "832-886-0385",
            "fax_number": "281-254-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLENKO",
        "first_name": "THOMAS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "TXB139828",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Forrestine Dickson Knowles, M.D.
• Pradeep Kodali, M.D.
• Eunice Kulemia Koffi, NP
• Stephanie Koh
• Taylor Poteet Kohn, MD
• Makaba Kone, FNP-C
• Geoffrey Newcomer Konopka, MD
• Michael Hosung Koo, MD
• Allyson Jones Kopel, M.D.
• Radhika Koppanur

• Chiropractor in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.