Individual provider Active NPI

Brett Lloyd Kolnick, PT

  • Physical Therapist
  • Boca Raton, FL
National Provider Identifier
1801995774
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
39526 Issued in FL
Practice address
3350 NW 2ND Ave Ste A6
Boca Raton, FL 33431-6676
Phone
(561) 395-1010
Fax
(561) 395-1030
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X PT0000007746 TN
Physical Therapist 225100000X 39526 FL Primary

Addresses

Primary practice location

3350 NW 2ND Ave Ste A6
Boca Raton, FL 33431-6676

Mailing address

3350 NW 2ND Ave Ste A6
Boca Raton, FL 33431-6676
Phone (561) 395-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050518000603 FL Practitioner - Physical Therapist in Private Practice 7517908718 Reassigns benefits to 1 organization
I20070711001023 TN Practitioner - Physical Therapist in Private Practice 7517908718 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7746TNMDMental Health Counselor
39526FLMDPhysical Therapist
PT0000007746TNMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cora Health Services Inc CurrentSince Mar 3, 2025 Accepting new patients
Cora Health Services Inc Current Accepting new patients
Cora Health Services, Inc CurrentSince Mar 3, 2025 Accepting new patients
Champion Physical Therapy LLC Halls Past Accepting new patients
Fairway Physical Therapy LLC Physical Therapist PastSince Sep 1, 2019 Accepting new patients
Champion Physical Therapy LLC Halls Past Accepting new patients
DME & Associates, Inc. Physical Therapist PastSince Jan 15, 2007 Accepting new patients

Locations

3350 NW 2nd Ave
Ste A6
Boca Raton, FL 33431
Phone (561) 395-1010

1700 W Woolbright Rd
Ste 1
Boynton Beach, FL 33426
Phone (561) 335-0112

13550 S Jog Rd
Ste 100
Delray Beach, FL 33446
Phone (561) 496-5144

20009 Verdana Village Blvd
Unit 103
Estero, FL 33928

3745 Shawnee Rd
Ste 103
Lima, OH 45806

Networks

  • Freedom Health HMO Network

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1801995774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 NW 2ND AVE STE A6",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316676",
            "telephone_number": "561-395-1010",
            "fax_number": "561-395-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 NW 2ND AVE STE A6",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316676",
            "telephone_number": "561-395-1010",
            "fax_number": "561-395-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLNICK",
        "first_name": "BRETT",
        "middle_name": "LLOYD",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "TN",
            "license": "PT0000007746",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "39526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.