Individual provider Active NPI

Alyson Elizabeth Kolesar, PT

  • Physical Therapist
  • Stow, OH
National Provider Identifier
1679957591
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015468 Issued in OH
Practice address
3903 Darrow Rd
Stow, OH 44224-2621
Phone
(330) 686-7772
NPI assigned
Jul 10, 2015
Last updated
Jun 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT015468 OH Primary

Addresses

Primary practice location

3903 Darrow Rd
Stow, OH 44224-2621

Mailing address

3903 Darrow Rd
Stow, OH 44224-2621
Phone (330) 686-7772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150730013783 OH Practitioner - Physical Therapist in Private Practice 5294049524 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT015468OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Novacare Rehabilitation of Ohio, Inc. CurrentSince Nov 13, 2022 Accepting new patients
Drayer Physical Therapy LLC Physical Therapist Current Accepting new patients
Drayer Physical Therapy LLC Physical Therapist CurrentSince Sep 11, 2021 Accepting new patients
Drayer Physical Therapy LLC Physical Therapist CurrentSince Sep 11, 2021 Accepting new patients
Drayer Physical Therapy Northern Ohio LLC Physical Therapist CurrentSince Jul 3, 2015 Accepting new patients
Novacare Rehabilitation of Ohio, Inc. Physical Therapist CurrentSince Nov 13, 2022 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

108 Barrington Town Square Dr
Aurora, OH 44202
Phone (330) 562-1655

6006 Mahoning Ave
Ste G
Austintown, OH 44515
Phone (330) 755-3000

4645 Belpar St NW
Canton, OH 44718
Phone (330) 493-4210

463 Ohio Pike
Ste 203
Cincinnati, OH 45255
Phone (513) 247-4340

803 E Washington St
Ste 130
Medina, OH 44256
Phone (330) 725-4200

3903 Darrow Rd
Stow, OH 44224
Phone (330) 686-7772

8094 E Market St
Warren, OH 44484
Phone (330) 856-2476

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1679957591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 DARROW RD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442242621",
            "telephone_number": "330-686-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 DARROW RD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442242621",
            "telephone_number": "330-686-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLESAR",
        "first_name": "ALYSON",
        "middle_name": "ELIZABETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-10",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT015468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stow, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.