Active NPI
Mersida Kolenovic, DPT
- Physical Therapist
- The Colony, TX
National Provider Identifier
1801567268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1348951
- Practice address
- 5000 Main St Ste 316
The Colony, TX 75056-2238 - Phone
- (469) 388-1139
- Fax
- (469) 388-1143
- NPI assigned
- Sep 24, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1348951 | TX | Primary |
Addresses
Primary practice location
5000 Main St Ste 316
The Colony, TX 75056-2238
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 541-5492
Other practice location 1
2765 E Eldorado Pkwy Ste 210
Little Elm, TX 75068-5607
Phone (972) 987-4927
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632441600000",
"number": "1801567268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-541-5492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 MAIN ST STE 316",
"city": "THE COLONY",
"state": "TX",
"postal_code": "750562238",
"telephone_number": "469-388-1139",
"fax_number": "469-388-1143"
}
],
"practiceLocations": [
{
"address_1": "2765 E Eldorado Pkwy Ste 210",
"address_purpose": "LOCATION",
"city": "Little Elm",
"state": "TX",
"postal_code": "750685607",
"country_code": "US",
"telephone_number": "972-987-4927",
"fax_number": "972-987-4929",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOLENOVIC",
"first_name": "MERSIDA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-24",
"last_updated": "2021-09-24",
"certification_date": "2021-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1348951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in The Colony, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.