Jodi Lee Kolb, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH8175 Issued in AL

Practice address

6475 Van Buren St
Daphne, AL 36526-7585

Phone

(251) 626-9052

NPI assigned

Sep 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Jodi Lee Smith Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Northwest Center for Sports Medicine & Physical Therapy, Inc.

  • Physical Therapist
  • Tacoma, WA
  • NPI 1225582844
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1295839785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11406 SAINT IVES CT",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365268492",
            "telephone_number": "509-981-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 VAN BUREN ST",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267585",
            "telephone_number": "251-626-9052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25150 Hancock Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925625987",
            "country_code": "US",
            "telephone_number": "951-698-7720",
            "fax_number": "951-698-7451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLB",
        "first_name": "JODI",
        "middle_name": "LEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204770",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33825",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH8175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "SMITH",
            "middle_name": "LEE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Caitlin Jennings Kirby, LICSW
• Breanne Dutter Kirchler, M.S. CCC-SLP
• Elle B Klayko
• Andrew Joseph Knight, DMD
• Michael John Kohrman, M.D.
• Robyn Laurelle Koser, M.ED.
• Fernanda Cutrone Krumm, LPC, LCPC, LMHC
• Coneith Kubina, RPH
• Gregory Alan Kuhlmann, DC
• Cora Kuhns, PA

• Physical Therapist in Daphne, AL
• Providers in Daphne, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.