Joseph Patrick Koloc, MSPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT20682 Issued in FL

Practice address

61 W Central Ave
Lake Wales, FL 33853-4113

Phone

(863) 678-0705

Fax

(863) 678-0700

NPI assigned

May 7, 2007

Last updated

Aug 26, 2013By the provider in NPPES

Sex

Male

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

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Core Rehabilitation IncGroup PAC ID 9234364902, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Core Rehabilitation Inc.

  • Physical Therapist
  • Lake Wales, FL
  • NPI 1710325469
  Medicare reassignment Care Compare group Authorized official
• FCHR PA

  dba Four Corners Health & Rehabilitation

  • Physical Therapist
  • Clermont, FL
  • NPI 1760427975

  Orthopedic

  NPD
• Mobility Home Healthcare Inc

  • Home Health Agency
  • Clermont, FL
  • NPI 1669127981
  NPD

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1780896084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 W CENTRAL AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534113",
            "telephone_number": "863-678-0705",
            "fax_number": "863-678-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 W CENTRAL AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534113",
            "telephone_number": "863-678-0705",
            "fax_number": "863-678-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLOC",
        "first_name": "JOSEPH",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT20682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Brianna Kidwell, PA
• Jonathan Bradford King, DMD
• Felicia Knighton, HHA
• Raymond R Knisley, DO
• Elizabeth Michele Koelsch, MA, CCC-SLP
• Sergey M Kondrashov
• Kris Fitzgerald, LMHC, PLLC
• L & E Express Transport, Inc
• L & E Helping Hands LLC
• Salim Lahlou, M.D.

• Orthopedic Physical Therapist in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Orthopedic Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.