Michael A Kolonich, COTAL

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA01765 Issued in OH

Practice address

575 S Cleveland Massillon Rd
Fairlawn, OH 44333-3019

Phone

(330) 666-5866

NPI assigned

Jul 2, 2007

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326245309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 HUNT CLUB DR",
            "address_2": "APT 3C",
            "city": "COPLEY",
            "state": "OH",
            "postal_code": "443212912",
            "telephone_number": "330-603-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S CLEVELAND MASSILLON RD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333019",
            "telephone_number": "330-666-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLONICH",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "COTAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA01765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0139424",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Marie Kolano, M.A., CF-SLP
• Crissy Ann Kolarik
• Douglas B Kolarik, M.D.
• Ayah Koleilat, DDS
• Erin M Kolonich, MA, CCC-SLP
• Dmitri Kolychev, M.D.
• Ann R Kooken, M.D.
• Karen E Koplin, CNP
• Lisa Marie Kosley, RN
• James George Kotapish, Jr., D.D.S.,M.S.

• Occupational Therapy Assistant in Fairlawn, OH
• Providers in Fairlawn, OH by specialty
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.