Active NPI
Robert William Bolinger
- Physical Therapist
- Fallbrook, CA
National Provider Identifier
1093157273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P.T 5352
- Practice address
- 746 S Main Ave
Suite D
Fallbrook, CA 92028-3333 - Phone
- (760) 728-8999
- Fax
- (760) 728-0821
- NPI assigned
- Jul 29, 2013
- Last updated
- Jul 29, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P.T 5352 | CA | Primary |
Addresses
Primary practice location
746 S Main Ave
Suite D
Fallbrook, CA 92028-3333
Mailing address
746 S Main Ave
Suite D
Fallbrook, CA 92028-3333
Phone (760) 728-8999
Other names 1
- Mr. Robert William Bolinger
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P.T 5352 | CA | MD | Physical Therapist |
| 5352 | CA | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twin Oaks Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Woodland Creek Physical Therapy LLC | Past | Accepting new patients | |
| Fallbrook Spine Center | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1003824137
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375056000000",
"number": "1093157273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "746 S MAIN AVE",
"address_2": "SUITE D",
"city": "FALLBROOK",
"state": "CA",
"postal_code": "920283333",
"telephone_number": "760-728-8999",
"fax_number": "760-728-0821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "746 S MAIN AVE",
"address_2": "SUITE D",
"city": "FALLBROOK",
"state": "CA",
"postal_code": "920283333",
"telephone_number": "760-728-8999",
"fax_number": "760-728-0821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLINGER",
"first_name": "ROBERT",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-29",
"last_updated": "2013-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "P.T 5352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROBERT",
"last_name": "BOLINGER",
"middle_name": "WILLIAM",
"prefix": "MR.",
"credential": "P.T.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Fallbrook, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.