Sasha Laurel Kolbeck, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3702 Issued in OR

Practice address

1515 NW 18TH Ave
Ste 400
Portland, OR 97209-2516

Phone

(541) 297-2497

NPI assigned

Feb 6, 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 3

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rose City Physical Therapy Associates, LLCGroup PAC ID 0143447540, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Rose City Physical Therapy Associates, LLC

  dba Rose City Orthopedic & Sports Physical Therapy

  • Physical Therapy Clinic/Center
  • Portland, OR
  • NPI 1588076954

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Rose City Physical Therapy Associates, LLC

  dba Hand Therapy Specialists

  • Hand Occupational Therapist
  • Portland, OR
  • NPI 1760152235

  Physical Therapist

  NPD Authorized official

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1972575728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 NW 18TH AVE",
            "address_2": "STE 400",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092516",
            "telephone_number": "541-297-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 NW 18TH AVE",
            "address_2": "STE 400",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092516",
            "telephone_number": "541-297-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLBECK",
        "first_name": "SASHA",
        "middle_name": "LAUREL",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "3702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TAX NUMBER",
            "identifier": "930635514",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN NUMBER",
            "identifier": "R0000WFBTV",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "299303",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julianne Bartlett Kolb
• Gniewosz Paul Kolba, M.A., QMHP
• Philip Kolba, MA LPC NCC
• Karl James Kolbeck, PT
• Kenneth John Kolbeck, MD, PHD
• Richard Kolbell, PH.D., ABPP
• Seda Eliam Kolbjorn, LMT
• Jonathan Kole, MA, MS
• Alaa Koleilat, PHD
• Michael Ralph Kolesnikov, FNP-C

• Physical Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.