Active NPI
Randy Lee Kollman, DPT
- Physical Therapist
- Jamestown, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8332
- Practice address
- 904 5TH Ave NE
Jamestown, ND 58401-3437 - Phone
- (701) 253-4000
- NPI assigned
- Oct 5, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1531 | ND | |
| Physical Therapist | 225100000X | 8332 | MN | Primary |
Addresses
Primary practice location
904 5TH Ave NE
Jamestown, ND 58401-3437
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other practice location 1
2830 5TH Ave NW
Jamestown, ND 58401-1806
Phone (701) 269-0006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
904 5TH Ave NE
Jamestown, ND 58401-3437
Phone (701) 253-4000
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.73 of 100
- Quality
- 71.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.68
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1531 | ND | MD | Registered Dietitian |
| 8332 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Past | Accepting new patients | |
| Rehabauthority, LLC | Physical Therapist | Past | Accepting new patients |
| At-Home Physical Therapy, PC | Physical Therapist | Past | Accepting new patients |
Locations
300 2nd Ave NE
Jamestown, ND 58401
Phone (701) 251-6000
904 5th Ave NE
Jamestown, ND 58401
Phone (701) 253-4000
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
Organizations & group practices 6
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.
-
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
-
- Rural Health Clinic/Center
- Enderlin, ND
- NPI 1285666271
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
-
- Physical Therapist
- Fargo, ND
- NPI 1437173945
-
- Home Health Agency
- Fargo, ND
- NPI 1891861761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1437484649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 5TH AVE NE",
"city": "JAMESTOWN",
"state": "ND",
"postal_code": "584013437",
"telephone_number": "701-253-4000"
}
],
"practiceLocations": [
{
"address_1": "2830 5TH AVE NW",
"address_purpose": "LOCATION",
"city": "JAMESTOWN",
"state": "ND",
"postal_code": "584011806",
"country_code": "US",
"telephone_number": "701-269-0006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOLLMAN",
"first_name": "RANDY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-05",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "1531",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "8332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamestown, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.