Active NPI
Olga Kolenberg, PT
- Physical Therapy Clinic/Center
- Cos Cob, CT
National Provider Identifier
1588329569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 006882
- Practice address
- 132 E Putnam Ave Ste 14
Cos Cob, CT 06807-2753 - Phone
- (203) 512-4149
- Fax
- (203) 358-0052
- NPI assigned
- Nov 3, 2021
- Last updated
- Dec 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 006882 | CT | Primary |
| Pediatric Rehabilitation Medicine Physician | 2081P0010X | 006882 | CT | |
| Pediatric Physical Therapist | 2251P0200X | 006882 | CT |
Addresses
Primary practice location
132 E Putnam Ave Ste 14
Cos Cob, CT 06807-2753
Mailing address
11 Bertmor Dr
Stamford, CT 06905-2114
Phone (203) 512-4149
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006882 | CT | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caitlin M. Ingraham, M.S., CCC-SLP | Current | Accepting new patients |
Locations
132 E Putnam Ave
Ste 14
Cos Cob, CT 06807
Phone (203) 512-4149
Organizations & group practices 1
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.
-
dba Small Talk 4 Kids
- Speech-Language Pathologist
- Cos Cob, CT
- NPI 1700282134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1588329569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 BERTMOR DR",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069052114",
"telephone_number": "203-512-4149",
"fax_number": "203-990-3393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 E PUTNAM AVE STE 14",
"city": "COS COB",
"state": "CT",
"postal_code": "068072753",
"telephone_number": "203-512-4149",
"fax_number": "203-358-0052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLENBERG",
"first_name": "OLGA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-03",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "CT",
"license": "006882",
"primary": true
},
{
"code": "2081P0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
"state": "CT",
"license": "006882",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CT",
"license": "006882",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cos Cob, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.