Marcia Kolongowski, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT013157L Issued in PA

Practice address

4948 Pennell Rd
Aston, PA 19014-1867

Phone

(610) 494-8730

Fax

(610) 494-9671

NPI assigned

Jun 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 10

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 and National Provider Directory roles.

• Dynamic Industrial Solutions, LLC

  • Durable Medical Equipment & Medical Supplies
  • Wilmington, DE
  • NPI 1578356028
  NPD Authorized official
• Dynamic Therapy Services of Pennsylvania LLC

  • Physical Therapist
  • Aston, PA
  • NPI 1346477981
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1659312858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W 10TH ST",
            "city": "MARCUS HOOK",
            "state": "PA",
            "postal_code": "190614513",
            "telephone_number": "610-859-8850",
            "fax_number": "610-859-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4948 PENNELL RD",
            "city": "ASTON",
            "state": "PA",
            "postal_code": "190141867",
            "telephone_number": "610-494-8730",
            "fax_number": "610-494-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLONGOWSKI",
        "first_name": "MARCIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J10001530",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00877400",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT013157L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0879632",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102313867",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "000000254533",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07759438",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0792818000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30068646",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PABS",
            "identifier": "87639",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRAVO",
            "identifier": "1659312858",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00692901",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "057774VLZ",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kessler Endocrinology Assoc PC
• Deanna Keyes, BCBA, LPC
• Mi Kyong Kim
• Kingdom Mindset LLC
• Kristen Maureen Kirchner, DPT
• Diane Koser-Seltzer, CRNP
• Amy Rose Lamorgia, PHARMD
• Kassie Marie Lange
• Carla Laury
• Mamerto Mascarinas Lebita, MD

• Physical Therapist in Aston, PA
• Providers in Aston, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.