Nikole Ashton Koellner, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT014304 Issued in GA

Practice address

2850 Holcomb Bridge Rd Ste 140a
Alpharetta, GA 30022-1658

Phone

(678) 585-7921

Fax

(678) 585-7923

NPI assigned

Aug 29, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1962050229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214915",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 HOLCOMB BRIDGE RD STE 140A",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221658",
            "telephone_number": "678-585-7921",
            "fax_number": "678-585-7923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3205 Deans Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309064208",
            "country_code": "US",
            "telephone_number": "762-222-1123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOELLNER",
        "first_name": "NIKOLE",
        "middle_name": "ASHTON",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Michelle Knouff, O.D.
• Hannah Kobayashi, PT, DPT
• Melissa Koblitz
• Jacqueline Leigh Kocken, DPT
• Christine M Kocks, LCSW
• Rachael Koenig, OTR/L
• Malathi Kolipaka, MD
• Yuriy Kolivoshka
• Herbert H Kollinger, D. O.
• Mikayla Kolmos

• Physical Therapist in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.