Joanna M. Kokolis, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305209311 Issued in VA

Practice address

4125 Ironbound Rd
Suite 100
Williamsburg, VA 23188-2666

Phone

(757) 220-8383

Fax

(757) 253-7833

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Joanna U. Michalopulos Former name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tidewater Physical Therapy LLCGroup PAC ID 6406759281, 225 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.16 of 100Reported as group

Quality

85.78

Promoting interoperability

99

Improvement activities

40

Cost

75.6

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Tidewater Physical Therapy, LLC

  • Physical Therapist
  • Glen Allen, VA
  • NPI 1457389595
  Medicare reassignment Care Compare group NPD
• Tidewater Physical Therapy, LLC

  • Physical Therapist
  • Roanoke, VA
  • NPI 1437664356
  NPD
• Tidewater Physical Therapy LLC

  • Physical Therapist
  • Richmond, VA
  • NPI 1386165264
  NPD (past)
• Tidewater Physical Therapy LLC

  • Physical Therapist
  • Norfolk, VA
  • NPI 1538680400
  NPD (past)
• Tidewater Physical Therapy LLC

  • Physical Therapist
  • Richmond, VA
  • NPI 1588185458
  NPD (past)
• Tidewater Physical Therapy LLC

  • Physical Therapist
  • Suffolk, VA
  • NPI 1831610708
  NPD (past)
• Tidewater Physical Therapy, LLC

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1093172181
  NPD (past)
• Tidewater Physical Therapy, LLC

  • Physical Therapist
  • Palmyra, VA
  • NPI 1881133791
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1407934359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 PILOT HOUSE DR",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236061990",
            "telephone_number": "757-873-2302",
            "fax_number": "757-873-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 IRONBOUND RD",
            "address_2": "SUITE 100",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882666",
            "telephone_number": "757-220-8383",
            "fax_number": "757-253-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKOLIS",
        "first_name": "JOANNA",
        "middle_name": "M.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1158690",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "C05954",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID QMB",
            "identifier": "1407934359",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "MICHALOPULOS",
            "middle_name": "U.",
            "credential": "PT,DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen Lynn Knudsen, MD
• Karen Knust, RPH
• Charles L. Koah, LPC
• Sindhu Kodoth
• Courtney Koenig
• George M Kokolski Jr., DO
• Katherine E Koman, OTL
• Rachel Komrek
• Bryce Taylor Koob, DPT
• Todd Korabek, A.T.C.

• Physical Therapist in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.