Active NPI
Andrijano Kolonic, MS, OTR/L, CHT
- Hand Occupational Therapist
- Highlands Ranch, CO
National Provider Identifier
1740468024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- Practice address
- 1265 SGT Jon Stiles Dr Unit D
Highlands Ranch, CO 80129-2266 - Phone
- (303) 274-7332
- Fax
- (720) 497-6733
- NPI assigned
- Feb 8, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 08-0040 | NV | |
| Occupational Therapist | 225X00000X | 8025 | CO | |
| Hand Occupational Therapist | 225XH1200X | Primary |
Addresses
Primary practice location
1265 SGT Jon Stiles Dr Unit D
Highlands Ranch, CO 80129-2266
Mailing address
1265 SGT Jon Stiles Dr Unit D
Highlands Ranch, CO 80129-2266
Phone (303) 274-7332
Other practice location 1
24076 SE Stark St
Ste 200
Gresham, OR 97030-3373
Phone (503) 674-7860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500651521 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8025 | CO | MD | Occupational Therapist |
| 08-0040 | NV | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1740468024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1265 SGT JON STILES DR UNIT D",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801292266",
"telephone_number": "303-274-7332",
"fax_number": "720-497-6733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 SGT JON STILES DR UNIT D",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801292266",
"telephone_number": "303-274-7332",
"fax_number": "720-497-6733"
}
],
"practiceLocations": [
{
"address_1": "24076 SE Stark St",
"address_2": "Ste 200",
"address_purpose": "LOCATION",
"city": "Gresham",
"state": "OR",
"postal_code": "970303373",
"country_code": "US",
"telephone_number": "503-674-7860",
"fax_number": "503-674-7642",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOLONIC",
"first_name": "ANDRIJANO",
"credential": "MS, OTR/L, CHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-08",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NV",
"license": "08-0040",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "8025",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500651521",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Highlands Ranch, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.