Lisa Kolar

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5502004602 Issued in MI

Practice address

128 W Huron Ave
Bad Axe, MI 48413-1177

Phone

(989) 269-2700

NPI assigned

Nov 9, 2016

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)

Not enrolled

State licenses

Practice roles

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.

• Active Rehab Group LLC

  • Rehabilitation Hospital Unit
  • Bad Axe, MI
  • NPI 1669615993

  Physical Therapy

  NPD (past)

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1972045854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 W HURON AVE",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484131177",
            "telephone_number": "989-269-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 W HURON AVE",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484131177",
            "telephone_number": "989-269-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLAR",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5502004602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John E Klosowski, DO
• Paige Klupp
• Juliann Koehn
• Catherine Ann Koglin, MS, LCGC
• Jeff Lenn Koglin
• Henry Kozdron, DO
• Jamie Kozdron, MD
• Brian Christopher Krager
• Beth Krug
• Valerie Kubacki

• Physical Therapy Clinic/Center in Bad Axe, MI
• Providers in Bad Axe, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.