Organization Active NPI

Kolb Corporation

  • Massage Therapist
  • Penfield, NY
National Provider Identifier
1215183223
Registry record updated Aug 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
011919 Issued in NY
Legal business name
KOLB CORPORATION
Practice address
481 Penbrooke Dr
Suite 5
Penfield, NY 14526-2044
Phone
(585) 678-4713
Fax
(585) 678-4713
NPI assigned
Aug 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2008

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

Authorized official

Name
Vikki Kolb, LMT
Title
President
Phone
(585) 678-4713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 011919 NY Primary

Addresses

Primary practice location

481 Penbrooke Dr
Suite 5
Penfield, NY 14526-2044

Mailing address

481 Penbrooke Dr
Suite 5
Penfield, NY 14526-2044
Phone (585) 678-4713

National Provider Directory

National Provider Directory

Locations

481 Penbrooke Dr
Ste 5
Penfield, NY 14526
Phone (585) 678-4773

NPI Registry JSON

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

{
    "created_epoch": "1218326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218326400000",
    "number": "1215183223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 PENBROOKE DR",
            "address_2": "SUITE 5",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262044",
            "telephone_number": "585-678-4713",
            "fax_number": "585-678-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 PENBROOKE DR",
            "address_2": "SUITE 5",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262044",
            "telephone_number": "585-678-4713",
            "fax_number": "585-678-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOLB CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-10",
        "last_updated": "2008-08-10",
        "status": "A",
        "authorized_official_last_name": "KOLB",
        "authorized_official_first_name": "VIKKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-678-4713",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "011919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penfield, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2008; 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.