Rachael Kolis, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

013100 Issued in OH

Practice address

1143 E Main St
Lancaster, OH 43130-4056

Phone

(740) 687-8602

NPI assigned

May 19, 2023

Sex

Female

Sole proprietor

Yes

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.

• Fairfield Medical Center

  • Rural Health Clinic/Center
  • New Lexington, OH
  • NPI 1699496745
  NPD (past)

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1396436218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 W 5TH ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456013014",
            "telephone_number": "330-465-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1143 E MAIN ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304056",
            "telephone_number": "740-687-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLIS",
        "first_name": "RACHAEL",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "013100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Eugene Knox, DLDO
• Annette Knuutila
• Ashlee Renea Koch, CDCA PRELIMINARY
• Lincoln Howe Kohner, D.C.
• Stacy L Kolbash, RD, LD
• Srinivas Kolli, MD INC
• Susmitha P. Kolli, MD
• Martin Konadu
• Anokh Kondru, D.O.
• Jency Koshy

• Physical Therapy Assistant in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.