Dana A Kankolenski, PT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT14125 Issued in CA

Practice address

1601 Pacific Coast Hwy
Hermosa Beach, CA 90254-3213

Phone

(310) 698-0770

Fax

(310) 698-0801

NPI assigned

Nov 28, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1740462019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 LYNDON ST",
            "address_2": "#5",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902545125",
            "telephone_number": "310-698-0770",
            "fax_number": "310-698-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 PACIFIC COAST HWY",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543213",
            "telephone_number": "310-698-0770",
            "fax_number": "310-698-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANKOLENSKI",
        "first_name": "DANA",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT14125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Allen Medical Group PC
• Frank Erik Kaden, D.C.
• Kalm Minds Psychiatry Group
• Patrice Kane, MA, LMFT
• Kenneth S Kang, LMFT
• Robert Scott Kapust, OD
• Benjamin Cole Karabell, D.M.D
• Kari Sharp, M.S., Rd
• Anna Lauren Kavanaugh, LMFT, ATR-BC
• Neishamia Brianna Kayizzi

• Physical Medicine & Rehabilitation Physician in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.