Edyta Halina Kolasa, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA0000006184 Issued in TN

Practice address

8975 Big Oak Drive
Murfreesboro, TN 37129

Phone

(760) 318-5648

NPI assigned

Mar 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1467812230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8975 BIG OAK DRIVE",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37129",
            "telephone_number": "760-318-5648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8975 BIG OAK DRIVE",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37129",
            "telephone_number": "760-318-5648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLASA",
        "first_name": "EDYTA",
        "middle_name": "HALINA",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-07",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "KY",
            "license": "A03424",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "PTA-A03424",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "PTA0000006184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurt Michael Knoll, PA-C
• Erika Nicole Knox, AU.D, CCC-A
• Robert Lee Knox Jr., M.D.
• Aryn Kohl
• Olusola O Kolade, M.D.
• John T. Kolisnyk, DO
• Kolka Chiropractic, PLLC
• Jennifer Kolka, CRNA
• Seth Kolka, D.C., B.S.
• Tejasvi Kommula, M.D.

• Physical Therapy Assistant in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.