Karl James Kolbeck, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2675 Issued in OR

Practice address

1515 NW 18TH Ave
Portland, OR 97209-2516

Phone

(503) 228-1306

Fax

(503) 228-1307

NPI assigned

Jan 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rose City Physical Therapy Associates, LLCGroup PAC ID 0143447540, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rose City Physical Therapy Associates, LLC

  • Physical Therapy Clinic/Center
  • Portland, OR
  • NPI 1588076954

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Rose City Physical Therapy Associates, LLC

  • Hand Occupational Therapist
  • Portland, OR
  • NPI 1760152235

  Physical Therapist

  NPD
• Pacific Crest Physical Therapy Inc

  • Physical Therapist
  • Warrenton, OR
  • NPI 1255413787
  NPD (past)
• Therapeutic Associates Inc

  • Physical Therapist
  • Portland, OR
  • NPI 1144042649
  NPD (past)
• Therapeutic Associates Inc

  • Physical Therapist
  • Eugene, OR
  • NPI 1497731855
  NPD (past)
• Ocean Beach Physical Therapy Inc

  • Physical Therapist
  • Ilwaco, WA
  • NPI 1356423883
  NPD (past)

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1720066780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NW 23RD PL",
            "address_2": "STE 6 - 311",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105580",
            "telephone_number": "503-913-4450",
            "fax_number": "866-866-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 NW 18TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092516",
            "telephone_number": "503-228-1306",
            "fax_number": "503-228-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLBECK",
        "first_name": "KARL",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "2675",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "4199",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00005973",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158552",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcella Kokinda, CADCI
• Cordelia Kolar, QMHA
• Julianne Bartlett Kolb
• Gniewosz Paul Kolba, M.A., QMHP
• Philip Kolba, MA LPC NCC
• Kenneth John Kolbeck, MD, PHD
• Sasha Laurel Kolbeck, MPT
• Richard Kolbell, PH.D., ABPP
• Seda Eliam Kolbjorn, LMT
• Jonathan Kole, MA, MS

• Physical Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.