Michal Kolodziej, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160.005143 Issued in IL

Practice address

730 W Hintz Rd
Wheeling, IL 60090-5501

Phone

(847) 537-7474

NPI assigned

Dec 1, 2011

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1487922753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 E STONEGATE DR",
            "city": "PROSPECT HEIGHTS",
            "state": "IL",
            "postal_code": "600701054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 W HINTZ RD",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600905501",
            "telephone_number": "847-537-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLODZIEJ",
        "first_name": "MICHAL",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.005143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan J. Kissane, D.P.T.
• Scott C Knaack, D.C.
• Ko Wellness and Rehabilitation Center Inc
• Willes Ko, D.C.
• Connor Koch
• Hannah Koo
• Vladlena Korol, PHARMD
• Eliska Kostelny, MA
• Barry Lewis Kramer, DDS
• Kras Medical S.C.

• Physical Therapy Assistant in Wheeling, IL
• Providers in Wheeling, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.