Individual provider Active NPI

Maria Luisa Bollier, PT DPT CHT

  • Physical Therapist
  • Buena Park, CA
National Provider Identifier
1144384181
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT17870 Issued in CA
Practice address
6850 Lincoln Ave Ste 205
Buena Park, CA 90620-4180
Phone
(714) 527-9240
Fax
(714) 527-9230
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT17870 CA Primary

Addresses

Primary practice location

6850 Lincoln Ave Ste 205
Buena Park, CA 90620-4180

Mailing address

6850 Lincoln Ave Ste 205
Buena Park, CA 90620-4180
Phone (714) 527-9240

Other names 1

  • Maria Luisa Bautista Bollier Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050930000679 CA Practitioner - Physical Therapist in Private Practice 6901700236 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6850 Lincoln Ave
Suite 205
Buena Park, CA 90620-4180
Phone (714) 527-9240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17870CAMDDermatology Physician
PT17870CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Sports Rehab Physical Therapy, Inc. Physical Therapist CurrentSince Apr 15, 2021 Accepting new patients
Recovercare Therapy Group, Inc. Physical Therapist CurrentSince Jun 15, 2005 Accepting new patients
Recovercare Therapy Group, Inc. Physical Therapist CurrentSince Jun 15, 2005 Accepting new patients

Locations

6850 Lincoln Ave
Ste 205
Buena Park, CA 90620
Phone (714) 527-9240

13330 Bloomfield Ave
Ste 101
Norwalk, CA 90650
Phone (562) 484-3860

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1144384181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 LINCOLN AVE STE 205",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204180",
            "telephone_number": "714-527-9240",
            "fax_number": "714-527-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 LINCOLN AVE STE 205",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204180",
            "telephone_number": "714-527-9240",
            "fax_number": "714-527-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLIER",
        "first_name": "MARIA LUISA",
        "credential": "PT DPT CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT17870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA LUISA",
            "last_name": "BOLLIER",
            "middle_name": "BAUTISTA",
            "credential": "RPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.