Kimberly Colclasure, DPT
NPI 1457621534ActiveIndividual· Physical Therapist· Centerville, OH
Physical Therapist (DPT) with Synergy Family Therapy Specialists Inc, practicing in Centerville, Ohio. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1457621534 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Jan 6, 2012 |
| Last updated in NPPES | Feb 10, 2022 |
| Certified by provider | Feb 10, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 07556 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (OH) |
|---|
Education and affiliations
| Graduation year | 1996 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Synergy Family Therapy Specialists IncCenterville, OH · 3 clinicians
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