Victoria Bolduc, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9635 PT Issued in FL

Practice address

11135 S Jog Road
Suite 1
Boynton Beach, FL 33737-1817

Phone

(561) 752-3820

Fax

(567) 752-5788

NPI assigned

Aug 19, 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 names 1

• Miss Victoria Fernandez Former name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bolduc Physical Therapy IncGroup PAC ID 2163329343, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Bolduc Physical Therapy Inc

  • Physical Therapist
  • Boynton Beach, FL
  • NPI 1184703340
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1023123486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11135 S JOG ROAD",
            "address_2": "SUITE 1",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334371817",
            "telephone_number": "561-752-3820",
            "fax_number": "567-752-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11135 S JOG ROAD",
            "address_2": "SUITE 1",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "337371817",
            "telephone_number": "561-752-3820",
            "fax_number": "567-752-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDUC",
        "first_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "9635 PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "FERNANDEZ",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Body Works Physical Therapy Inc
• Jennifer Leah Bogdanowicz, APRN, FNP-BC
• Berneta Boldin, PT, DPT
• Bolduc Physical Therapy Inc
• Christian Paul Bolduc, PT
• Michael Bolenbaugh, PHARMD
• Valeria Bolivar
• David Boltson, PSY.D.
• Bonafide Healthcare Services LLC
• Michele Bonazzoli-Clinton, ARNP

• Physical Therapist in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.