MISS JESSICA ALEXIS KOLLER (NPI# 1992042360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992042360 |
| Entity Type | Individual |
| Full Name | MISS JESSICA ALEXIS KOLLER |
| Credential | ATC |
| Practice Address |
2 Medical Park Rd Columbia SC 29203-6808 |
| Mailing Address |
215 Spencer Pl Apt 913 Cayce SC 29033-3980 |
| Practice Telephone | 2034701558 |
| Mailing Telephone | 2034701558 |
| Enumeration Date | 2013-01-05 |
| Last Update Date | 2013-01-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
1339 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
2 MEDICAL PARK RD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-6808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952383481 | Andrea Adams Sellers | Genetic Counselor, MS | 2 Medical Park Rd, Columbia, SC 29203-6808 | 2005-11-18 |
| 1174070429 | Chay N Malvasio | Physician Assistant | 2 Medical Park Rd, Suite L9, Columbia, SC 29203 | 2016-09-03 |
| 1427501873 | Jaclyn Gravis | Nurse Practitioner | 2 Medical Park Rd, Suite 501, Columbia, SC 29203-6808 | 2016-08-02 |
| 1952784092 | Chad Schmidt | Specialist | 2 Medical Park Rd, Columbia, SC 29203-6808 | 2015-07-07 |
| 1083013593 | Katie Coulter | Specialist/Technologist | 2 Medical Park Rd, Suite 104, Columbia, SC 29203-6808 | 2014-08-20 |
| 1053729905 | Whitney Dobek | Genetic Counselor, MS | 2 Medical Park Rd, Suite 103, Columbia, SC 29203-6808 | 2014-07-23 |
| 1861809162 | Emily Olivia Rosebrough Jordon | Genetic Counselor, MS | 2 Medical Park Rd, Suite 103, Columbia, SC 29203-6808 | 2014-07-18 |
| 1497013643 | Katherine Meriwether Hartley | Social Worker | 2 Medical Park Rd, Suite 506, Columbia, SC 29203-6808 | 2012-04-25 |
| 1245471895 | Karen L Edwards | Specialist/Technologist | 2 Medical Park Rd, Lower Level, Columbia, SC 29203-6808 | 2009-03-11 |
| 1770731838 | Victoria Ann Vincent | Genetic Counselor, MS | 2 Medical Park Rd, Suite 103, Columbia, SC 29203 | 2008-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003313966 | Performance Physical Therapy and Sports Rehabilitation LLC | Physical Medicine & Rehabilitation | 5501 Twin Knolls Rd Ste 111, Columbia, MD 21045-3260 | 2018-04-09 |
| 1275063489 | Alexandra Catherine Roemer | Physical Medicine & Rehabilitation | 300 Palmetto Health Pkwy Ste 201, Columbia, SC 29212-1762 | 2017-06-20 |
| 1659702579 | Kyle Anthony Martin | Physical Medicine & Rehabilitation | 10700 Charter Dr, Columbia, MD 21044-3629 | 2013-12-02 |
| 1225050271 | Southern Orthopaedic Physical Therapy,llc | Physical Medicine & Rehabilitation | 1718 Saint Julian Pl, Columbia, SC 29204-2410 | 2006-07-25 |
| 1265454219 | Cynthia J Ekman | Physical Medicine & Rehabilitation | 1718 Saint Julian Pl, Columbia, SC 29204-2410 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900047 | Jacob Louis Slann | Physical Medicine & Rehabilitation | 408 College Ave, Clemson, SC 29631-1441 | 2020-07-24 |
| 1821607185 | Bobby Papariella | Physical Medicine & Rehabilitation | 16 Verona Cir, Simpsonville, SC 29681-6615 | 2020-07-23 |
| 1891209227 | Caleb Sims Whitney | Physical Medicine & Rehabilitation | 10800 Sc 707, Murrells Inlet, SC 29576 | 2017-11-21 |
| 1457884421 | Bryan Keith | Physical Medicine & Rehabilitation | 320 W Butler Rd, Mauldin, SC 29662-2538 | 2017-04-06 |
| 1154388064 | Nancy Rose Lembo | Physical Medicine & Rehabilitation | 763 Travelers Blvd, Suite D, Summerville, SC 29485-8796 | 2006-04-26 |
| 1942266176 | Palmetto Spine & Sports Medicine, Pa | Physical Medicine & Rehabilitation | 3030 Ashley Town Center Dr, Blgd A-102, Charleston, SC 29414-5664 | 2006-04-25 |
| 1821624479 | Deepa V Patel | Physical Medicine & Rehabilitation | 2695 Elms Plantation Blvd Ste C, North Charleston, SC 29406-7132 | 2020-03-16 |
| 1356995211 | Okatie Physical Therapy and Sports Medicine | Physical Medicine & Rehabilitation | 149 Riverwalk Blvd Ste 3, Ridgeland, SC 29936-8191 | 2019-07-30 |
| 1366906281 | Olivia Forrest | Physical Medicine & Rehabilitation | 701 Oakland Ave, Rock Hill, SC 29733-7001 | 2019-01-24 |
| 1558889980 | Brandon Lee Edwards | Physical Medicine & Rehabilitation | 2439 Willwood Dr, Florence, SC 29501-3904 | 2017-09-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.