Kimberly A Kollwelter, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070013991 Issued in IL

Practice address

3082 Caton Farm Rd
Joliet, IL 60435-1455

Phone

(815) 577-9936

Fax

(815) 577-9938

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Athletic &Therapeutic Institute of Naperville, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Joliet, IL
  • NPI 1598872921
  NPD (past)
• Athletic and Therapeutic Institute of Joliet LLC

  dba Athletic and Therapeutic Institute of Joliet at Madison

  • Physical Therapist
  • Joliet, IL
  • NPI 1932249109
  NPD (past)
• Millbrook Physical Therapy PC

  • Specialist
  • Millbrook, NY
  • NPI 1962709428
  NPD (past)
• William S. Bremiller

  dba Millbrook Orthopedic & Sports Physical Therapy

  • Physical Therapist
  • Millbrook, NY
  • NPI 1104976307
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1922109586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3082 CATON FARM RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604351455",
            "telephone_number": "815-577-9936",
            "fax_number": "815-577-9938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLWELTER",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070013991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00931590",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kodo Care, Inc.
• Kodo Pharmacy Inc
• Kara Koestner
• Kirsten E Kokalj
• Julie Ann Kokenes, LCSW
• Katherine Koncar, PHARMD
• Caitlin Marie Konopek
• David K Koopmann, LCPC, ED. D.
• Christopher J. Kopacz, PTA
• Nicole Christine Koren, MA

• Physical Therapist in Joliet, IL
• Providers in Joliet, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.