Stephanie Ann Kolanko, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT14203 Issued in FL

Practice address

16025 Muirfield Dr
Odessa, FL 33556-2861

Phone

(304) 374-1252

NPI assigned

Dec 20, 2007

Last updated

Jan 16, 2017By 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22594/brand/1/csg/1/fhir/r4

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.

• Tampa Bay Pediatric Therapy LLC

  • Pediatric Occupational Therapist
  • Oldsmar, FL
  • NPI 1245633544
  NPD (past) Authorized official

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1689858086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16025 MUIRFIELD DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335562861",
            "telephone_number": "304-374-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16025 MUIRFIELD DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335562861",
            "telephone_number": "304-374-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLANKO",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-20",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT14203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889745000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7502134000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kids & Co Pediatric Dentistry
• Hilary Elizabeth Kingery
• Melissa Knight, RPH
• Joshua E Kolanko, C-FNP
• Kayla Marie Kolanko, PA-C
• Zulema Kolozsvary, APRN
• Linsey Christine Landosky, RN, IBCLC
• Kaele Lawless
• Alyse Lazaro
• Minh Le, DMD

• Occupational Therapist in Odessa, FL
• Providers in Odessa, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; 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.