Active NPI
John Douglas Kolander, P.T.
- Physical Therapist
- Crockett, TX
National Provider Identifier
1508960980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1067841
- Practice address
- 1018 E Loop 304
Crockett, TX 75835-1806 - Phone
- (936) 545-2044
- Fax
- (936) 546-0021
- NPI assigned
- Sep 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1067841 | TX | Primary |
Addresses
Primary practice location
1018 E Loop 304
Crockett, TX 75835-1806
Mailing address
1018 E Loop 304
Crockett, TX 75835-1806
Phone (936) 545-2044
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8T3196 | Other | TX | BCBS OF TEXAS |
| 1039571 | Other | TX | BLUELINK# |
| 7336732 | Other | TX | AETNA PIN # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crockett Therapy Services | Physical Therapist | Past | Accepting new patients |
| Occupational Rehab Solutions, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Crockett, TX
- NPI 1003832114
-
- Physical Therapist
- Conroe, TX
- NPI 1790701993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207094400000",
"number": "1508960980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1018 E LOOP 304",
"city": "CROCKETT",
"state": "TX",
"postal_code": "758351806",
"telephone_number": "936-545-2044",
"fax_number": "936-546-0021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1018 E LOOP 304",
"city": "CROCKETT",
"state": "TX",
"postal_code": "758351806",
"telephone_number": "936-545-2044",
"fax_number": "936-546-0021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLANDER",
"first_name": "JOHN",
"middle_name": "DOUGLAS",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2008-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1067841",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS",
"identifier": "8T3196",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUELINK#",
"identifier": "1039571",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN #",
"identifier": "7336732",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Crockett, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.