Individual provider Active NPI

Victor Kollar, PT, DPT

  • Physical Therapist
  • Kirkland, WA
National Provider Identifier
1972031771
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60745522 Issued in WA
Practice address
6710 108TH Ave NE
Kirkland, WA 98033-7050
Phone
(425) 979-7445
Fax
(425) 947-8540
NPI assigned
May 24, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT60745522 WA Primary

Addresses

Primary practice location

6710 108TH Ave NE
Kirkland, WA 98033-7050

Mailing address

6710 108TH Ave NE
Kirkland, WA 98033-7050
Phone (425) 979-7445

Other identifiers 1

IdentifierTypeStateIssuer
PT60745522OtherWADEPARTMENT OF HEALTH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170626002659 WA Practitioner - Physical Therapist in Private Practice 0941578645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houghton Physical Therapy LLCGroup PAC ID 3577857903, 9 clinicians

Practice addresses (Care Compare)

6710 108TH Ave NE
Suite 100
Kirkland, WA 98033-7050
Phone (425) 979-7445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT60745522WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Houghton Physical Therapy LLC Single Specialty CurrentSince Jun 6, 2017 Accepting new patients

Locations

6710 108th Ave NE
Ste 100
Kirkland, WA 98033
Phone (206) 963-7499

6710 108th Ave NE
Kirkland, WA 98033
Phone (425) 979-7445

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": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972031771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 108TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337050",
            "telephone_number": "425-979-7445",
            "fax_number": "425-947-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 108TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337050",
            "telephone_number": "425-979-7445",
            "fax_number": "425-947-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLAR",
        "first_name": "VICTOR",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60745522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "PT60745522",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.