Shelby Kolasinski, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501018166 Issued in MI

Practice address

1800 W US Highway 223
Adrian, MI 49221-8439

Phone

(517) 263-3378

NPI assigned

May 11, 2017

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 names 1

• Dr. Shelby Mack Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• River Rock Rehabilitation, LLC

  • Physical Therapist
  • Marion, OH
  • NPI 1689894461
  NPD

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1477089498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16553 COUNTY ROAD 10 3",
            "city": "LYONS",
            "state": "OH",
            "postal_code": "435339627",
            "telephone_number": "419-261-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W US HIGHWAY 223",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492218439",
            "telephone_number": "517-263-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLASINSKI",
        "first_name": "SHELBY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT015505",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "MACK",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cynthia Kirk, LMT
• Erika Kiss
• Ryan Knape
• Ashley H Knight-Dejonghe
• David Knox
• Konda BC Mouli, MD PC
• Jodi Lynn Kordyzon, OD
• Kyria Kozack
• Carlee Renee Kremski
• Jessica Kremski, CMT

• Physical Therapist in Adrian, MI
• Providers in Adrian, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.