Kristin Ladd Kolack, OTR/L

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

5375 Issued in CT

Practice address

113 Elm St Ste 201
Enfield, CT 06082-3739

Phone

(860) 253-5196

NPI assigned

Jan 20, 2020

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

State licenses

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.

• Gulf Breeze Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Pensacola, FL
  • NPI 1730183153
  NPD (past)
• Sports and Orthopedic Rehabilitation Services Inc

  • Physical Therapy Clinic/Center
  • Palm Harbor, FL
  • NPI 1932109071
  NPD (past)

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1245860170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 COOPER HILL RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064884652",
            "telephone_number": "203-592-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 ELM ST STE 201",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823739",
            "telephone_number": "860-253-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLACK",
        "first_name": "KRISTIN",
        "middle_name": "LADD",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CT",
            "license": "5375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kacper Kisala, PA-C
• Felecia A Knight
• Brian David Knox, MS, CCC-A
• Christine Knuchel
• Erin Kober, M.A.,CCC-SLP
• Anna Kordek
• Chad J Korte
• Jenny Koshy, APRN
• Michelle Anne Kososki, RPH
• Priscilla Jan Kowal, MPT,COTA/L

• Hand Occupational Therapist in Enfield, CT
• Providers in Enfield, CT by specialty
• Hand Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.