Emilee Paige Bolin

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2118176 Issued in TX

Practice address

1675 NE Loop 286
Paris, TX 75460-2219

Phone

(903) 782-9922

NPI assigned

Aug 9, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Xzact Therapy and Aquatics LLC

  • Physical Medicine & Rehabilitation Physician
  • Paris, TX
  • NPI 1992125447
  NPD (past)

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1033698014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 FM 1503",
            "city": "DEPORT",
            "state": "TX",
            "postal_code": "754354637",
            "telephone_number": "903-491-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 NE LOOP 286",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754602219",
            "telephone_number": "903-782-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLIN",
        "first_name": "EMILEE",
        "middle_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2118176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Blassingame, LPC
• John Stevens Boatner, M.D.
• Bob Robertson, MNSC,RN,CS,PC
• Damilola Bodunrin
• Darquarius Bogan
• Jeri Ann Bolton, AS,RRT,NPS,CPFT
• Jordan Bolton
• Jacob Andrew Bonner, D.C.
• Ballard Ray Boren, DC
• Gleb G Bourianoff, MD

• All providers in Paris, TX
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.