Michael Kohm, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5050 Issued in CO

Practice address

5353 Manhattan Cir Ste 102
Boulder, CO 80303-4200

Phone

(720) 352-0678

Fax

(720) 441-0485

NPI assigned

Mar 12, 2007

Last updated

Jun 23, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neuromuscular Strategies LLC

  • Physical Therapy Clinic/Center
  • Boulder, CO
  • NPI 1114296068
  Medicare reassignment NPD Authorized official
• Alta Physical Therapy PC

  • Specialist
  • Boulder, CO
  • NPI 1578675120
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1497887525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MONARCH CT",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271242",
            "telephone_number": "720-352-0678",
            "fax_number": "720-441-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 MANHATTAN CIR STE 102",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034200",
            "telephone_number": "720-352-0678",
            "fax_number": "720-441-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHM",
        "first_name": "MICHAEL",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "5050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE #",
            "identifier": "5050",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ee Wah Koh
• Kilsan Koh, M.D.
• Gloria C Kohl
• Kelley Kohl
• Kendra Bowman Kohlhaas, PH.D.
• Kyle Kolakowski, MASSAGE THERAPIST
• Kelly Woodside Kolar, PA-C
• Alberta Claire Kolberg I, N/A
• Irina Koleva
• Kathleen Kollitz Jegapragasan, MD

• Physical Therapist in Boulder, CO
• Providers in Boulder, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.