Individual provider Active NPI

Colleen Mullooly Krohmer, LPTA

  • Physical Therapy Assistant
  • Cuyahoga Falls, OH
National Provider Identifier
1871670414
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
03485 Issued in OH
Practice address
405 Tallmadge Rd
Suite 115
Cuyahoga Falls, OH 44221-3342
Phone
(330) 920-6526
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 03485 OH Primary

Addresses

Primary practice location

405 Tallmadge Rd
Suite 115
Cuyahoga Falls, OH 44221-3342

Mailing address

9907 Garfield Dr
Garfield Heights, OH 44125-1507
Phone (216) 641-6100

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
03485OHMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871670414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9907 GARFIELD DR",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441251507",
            "telephone_number": "216-641-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 TALLMADGE RD",
            "address_2": "SUITE 115",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213342",
            "telephone_number": "330-920-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROHMER",
        "first_name": "COLLEEN",
        "middle_name": "MULLOOLY",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "03485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.