Nikole Ashton Koellner, PT, DPT
Physical Therapist in Alpharetta, GA. Individual provider (NPI-1).
NPI number1962050229
StatusActive
Last updated in NPPESMar 13, 2020
Details
- NPI
- 1962050229
- Entity type
- Individual (NPI-1)
- Name
- Nikole Ashton Koellner
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 29, 2019
- Certification date
- Mar 13, 2020
- Last updated
- Mar 13, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT014304 | GA | Yes |
Practice location
2850 Holcomb Bridge Rd Ste 140aAlpharetta, GA 30022-1658
Phone 678-585-7921 · Fax 678-585-7923
Mailing address
6397 Lee Hwy Ste 300Chattanooga, TN 37421-4915
Phone 423-238-7217 · Fax 423-238-3473
Other practice locations
3205 Deans Bridge Rd
Augusta, GA 30906-4208
Augusta, GA 30906-4208
Phone 762-222-1123
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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