Individual provider Active NPI

Lisa Ferguson Bolin, DPT

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1154562403
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0020880 Issued in CO
Practice address
4850 Austin Bluffs Pkwy
Colorado Springs, CO 80918-5069
Phone
(719) 466-6800
Fax
(719) 694-1686
NPI assigned
Mar 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X AL
Physical Therapist 225100000X PTL.0020880 CO Primary

Addresses

Primary practice location

4850 Austin Bluffs Pkwy
Colorado Springs, CO 80918-5069

Mailing address

18740 Saint Andrews Dr
Monument, CO 80132-8881

Other practice location 1

374 Medical Air Group
Unit 5071
Apo, AP 96328-5071
Phone (315) 225-7508

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210526001598 CO Practitioner - Physical Therapist in Private Practice 6002149960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope Physical Therapy and Wellness CenterGroup PAC ID 8921307901, 8 clinicians

Practice addresses (Care Compare)

4850 Austin Bluffs Pkwy
Colorado Springs, CO 80918-5069
Phone (719) 466-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0020880COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Deserving Healing LLC CurrentSince Oct 1, 2025 Accepting new patients
Therapy South - Montgomery LLC Physical Therapist PastSince Aug 23, 2020 Accepting new patients

Locations

4850 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 204-3484

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": "1237248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1154562403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18740 SAINT ANDREWS DR",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 AUSTIN BLUFFS PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809185069",
            "telephone_number": "719-466-6800",
            "fax_number": "719-694-1686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "374 Medical Air Group",
            "address_2": "Unit 5071",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AP",
            "postal_code": "963285071",
            "country_code": "US",
            "telephone_number": "315-225-7508",
            "fax_number": "315-225-8975",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "BOLIN",
        "first_name": "LISA",
        "middle_name": "FERGUSON",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-17",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0020880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.