Active NPI
Brett Lloyd Kolnick, PT
- Physical Therapist
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 39526
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TN
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7746 | TN | MD | Mental Health Counselor |
| 39526 | FL | MD | Physical Therapist |
| PT0000007746 | TN | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cora Health Services Inc | Current | Accepting new patients | |
| Cora Health Services Inc | Current | Accepting new patients | |
| Cora Health Services, Inc | Current | Accepting new patients | |
| Champion Physical Therapy LLC Halls | Past | Accepting new patients | |
| Fairway Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
| Champion Physical Therapy LLC Halls | Past | Accepting new patients | |
| DME & Associates, Inc. | Physical Therapist | Past | 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.
-
- Rehabilitation Clinic/Center
- The Villages, FL
- NPI 1679009997
-
- Rehabilitation Clinic/Center
- Knoxville, TN
- NPI 1073771564
-
- Rehabilitation Clinic/Center
- Estero, FL
- NPI 1952128522
-
- Rehabilitation Clinic/Center
- Winter Garden, FL
- NPI 1104786805
-
- Physical Therapist
- Boynton Beach, FL
- NPI 1821170820
-
- Physical Therapist
- Palm Beach Gardens, FL
- NPI 1376557090
-
- Rehabilitation Clinic/Center
- White Pine, TN
- NPI 1285121673
-
- Rehabilitation Clinic/Center
- Bristol, TN
- NPI 1316434764
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.