Caroline M Bolton, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0000004486 Issued in TN

Practice address

569 Skyline Dr
Suite 100
Jackson, TN 38301-3911

Phone

(731) 427-7888

Fax

(731) 265-4152

NPI assigned

Apr 10, 2007

Last updated

May 27, 2009By the provider in NPPES

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

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Noma PCGroup PAC ID 0840589255, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

68.9 of 100Reported as group

Quality

45.42

Promoting interoperability

75

Improvement activities

40

Cost

71.75

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: caroline.boltonptatc.p1@direct.sportsorthospine.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Noma, PC

  dba Sports, Orthopedics & Spine

  • Orthopaedic Surgery Physician
  • Jackson, TN
  • NPI 1831550854
  Medicare reassignment Care Compare group NPD
• Carl W. Huff, MD, PC

  dba Bone and Joint Clinic of Dyersburg/Covington

  • Orthopaedic Surgery Physician
  • Dyersburg, TN
  • NPI 1962413674
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243382400000",
    "number": "1104949353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 SKYLINE DR",
            "address_2": "SUITE 100",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013911",
            "telephone_number": "731-427-7888",
            "fax_number": "731-265-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 SKYLINE DR",
            "address_2": "SUITE 100",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013911",
            "telephone_number": "731-427-7888",
            "fax_number": "731-265-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "CAROLINE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2009-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000004486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billie Sue Blythe, CASE MANAGER
• Sandra Bobbitt, CASE MANAGER
• Carson Bodiford, DO
• Gregory Lee Bohner, LPC-MHSP
• Roger Boleyn, CASE MANAGER
• Mary June Bolton, APRN, FNP
• Melissa L Bolton, APN
• Acunda Bond
• Angela Bond
• Elias K Bond, MD

• Physical Therapist in Jackson, TN
• Providers in Jackson, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.