JOHN KOLAR (P.T.) – Physical Therapist, NPI 1184625576

JOHN KOLAR (P.T.) is a healthcare provider. based in Lansing, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. JK010409 (MI). The NPI Number for JOHN KOLAR (P.T.) is 1184625576

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
JOHN KOLAR (P.T.)
NPI
1184625576
Phone
(517) 327-0966
Address
416 S CREYTS RD
Enumeration Date
9 August 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8004446845
Graduation Year
1999 (27 years ago)
PAC ID
3971495607
Group Practice PAC ID
5193036432
Professional Enrollment ID
I20050725000492
Address ID
MI488236343EA2530XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

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Provider Addresses for JOHN KOLAR (P.T.)

  • Grand Pointe Marina, 7086, Creyts Road, Dimondale, Windsor Charter Township, Eaton County, Michigan, 48821, United States

    SUITE B

    LANSING, MI 489178290

    Phone: (517) 327-0966

    Fax: (517) 327-0986

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-07-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050725000492IPhysical Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48917)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193036432View full group profile
NameSpecialtyState
-MO
-AL
-IL
Qualified Speech Language PathologistFL
-MO
Occupational Therapist In Private PracticeUT
Physical Therapist In Private PracticeWI
-WI
-WI
-FL

Reviews

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Frequently asked questions

Is there an official ID for JOHN KOLAR (P.T.) in U.S. healthcare records?
The official identifier for JOHN KOLAR (P.T.) is NPI 1184625576.
Is JOHN KOLAR (P.T.) shown as active in public data?
Registry records indicate JOHN KOLAR (P.T.) maintains an active NPI.
How would a patient describe JOHN KOLAR (P.T.)'s focus?
For JOHN KOLAR (P.T.), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Is JOHN KOLAR (P.T.) associated with Lansing?
Public fields place JOHN KOLAR (P.T.) around Lansing, Michigan. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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