Active NPI
Maria Luisa Bollier, PT DPT CHT
- Physical Therapist
- Buena Park, CA
National Provider Identifier
1144384181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT17870
- 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
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 | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17870 | CA | MD | Dermatology Physician |
| PT17870 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Sports Rehab Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Recovercare Therapy Group, Inc. | Physical Therapist | Current | Accepting new patients |
| Recovercare Therapy Group, Inc. | Physical Therapist | Current | 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.
-
- Physical Therapist
- Buena Park, CA
- NPI 1194309542
-
- Physical Therapist
- Norwalk, CA
- NPI 1659301935
-
- Physical Therapist
- Buena Park, CA
- NPI 1508802471
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.