Camille Woniya Kolodjay, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT37228 Issued in CA

Practice address

11074 Cedar Ridge Dr.
Grass Valley, CA 95945-5082

Phone

(707) 499-4418

NPI assigned

Nov 7, 2012

Last updated

Sep 12, 2025By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Spring Hill Physical Therapy and Acupuncture

  • Physical Therapist
  • Grass Valley, CA
  • NPI 1457443947
  NPD (past)

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1568716843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211",
            "city": "CEDAR RIDGE",
            "state": "CA",
            "postal_code": "959240211",
            "telephone_number": "707-499-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11074 CEDAR RIDGE DR.",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455082",
            "telephone_number": "707-499-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLODJAY",
        "first_name": "CAMILLE",
        "middle_name": "WONIYA",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-07",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT37228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "PT37228",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Ian Kleinerman, M.D.
• Jacqueline Marie Knack
• Anastacia Knight, MSW, ASW
• Kelsey L Kofoid, RADT
• Audrey Rochelle Kolden
• Anne Eisabeth Konner
• Micah Konyha
• Jacob Sloan Kopp, M.D.
• Stephen Patrick Kozel
• David J Kraus, MD

• Physical Therapist in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.