Individual provider Active NPI

Dawn C Kolkman, MSPT

  • Physical Therapist
  • Grand Junction, CO
National Provider Identifier
1306830112
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL 8999 Issued in CO
Practice address
2497 Power Rd Unit 10
Grand Junction, CO 81507-3085
Phone
(970) 263-4079
NPI assigned
Sep 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL 8999 CO Primary
Physical Therapist 225100000X CP039745T IN

Addresses

Primary practice location

2497 Power Rd Unit 10
Grand Junction, CO 81507-3085

Mailing address

2497 Power Rd Unit 10
Grand Junction, CO 81507-3085
Phone (970) 263-4079

Other identifiers 1

IdentifierTypeStateIssuer
PTL8999OtherCOPT CO STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250212003570 IN Practitioner - Physical Therapist in Private Practice 0042253379 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL 8999COMDPhysical Therapist
CP039745TINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings, Inc. CurrentSince Jan 31, 2025 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Jan 31, 2025 Accepting new patients
Apex Physical Therapy Inc Past Accepting new patients

Locations

3316 E Market St
Logansport, IN 46947
Phone (574) 601-3100

1110 W Broadway St
Ste D
Monticello, IN 47960
Phone (574) 583-9950

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1306830112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2497 POWER RD UNIT 10",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815073085",
            "telephone_number": "970-263-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2497 POWER RD UNIT 10",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815073085",
            "telephone_number": "970-263-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLKMAN",
        "first_name": "DAWN",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL 8999",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "CP039745T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT  CO STATE LICENSE",
            "identifier": "PTL8999",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.