Individual provider Active NPI

Kolter Warner, PT, DPT

  • Physical Therapist
  • Columbia, LA
National Provider Identifier
1912455502
Registry record updated Dec 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11207R Issued in LA
Practice address
7720 Highway 165 Ste 1
Columbia, LA 71418-5348
Phone
(318) 936-2004
Fax
(318) 965-7434
NPI assigned
Sep 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11207R LA Primary

Addresses

Primary practice location

7720 Highway 165 Ste 1
Columbia, LA 71418-5348

Mailing address

PO Box 1355
Columbia, LA 71418-1355
Phone (318) 376-0966

Other practice location 1

1000 Davis Lake Rd
Columbia, LA 71418
Phone (318) 936-2004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220601000638 LA Practitioner - Physical Therapist in Private Practice 5092003996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warner Therapy ServicesGroup PAC ID 6608298807, 7 clinicians

Practice addresses (Care Compare)

7720 Hwy 165
Suite 1
Columbia, LA 71418-5348
Phone (318) 936-2004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11207RLAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Warner Therapy Services Physical Therapist CurrentSince May 20, 2022 Accepting new patients

Locations

7720 Highway 165
Ste 1
Columbia, LA 71418
Phone (318) 936-2004

Organizations & group practices 1

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": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702771200000",
    "number": "1912455502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1355",
            "city": "COLUMBIA",
            "state": "LA",
            "postal_code": "714181355",
            "telephone_number": "318-376-0966",
            "fax_number": "318-965-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 HIGHWAY 165 STE 1",
            "city": "COLUMBIA",
            "state": "LA",
            "postal_code": "714185348",
            "telephone_number": "318-936-2004",
            "fax_number": "318-965-7434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Davis Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "LA",
            "postal_code": "71418",
            "country_code": "US",
            "telephone_number": "318-936-2004",
            "fax_number": "318-965-7434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARNER",
        "first_name": "KOLTER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-13",
        "last_updated": "2023-12-17",
        "certification_date": "2023-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11207R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2023; 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.