Christopher Boldrin, PTA, CSCS

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

PTA32790 Issued in FL

Practice address

5850 S Pine Island Rd
Davie, FL 33328-5933

Phone

(954) 800-5826

Fax

(954) 708-1469

NPI assigned

Jul 11, 2024

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1184461576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 S PINE ISLAND RD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 S PINE ISLAND RD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285933",
            "telephone_number": "954-800-5826",
            "fax_number": "954-708-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDRIN",
        "first_name": "CHRISTOPHER",
        "credential": "PTA, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "FL",
            "license": "PTA32790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Rae Bock, ATC
• Suanne Boehm, PHARMD
• David Robert Boesler, D.O.
• Annette D. Bogle
• Thomas Anthony Bohan
• Tayonna Danae Boley
• Briana Clamanchie Bolivar
• Jessie Bollback, ATC, LAT
• Nailyn Bonachea
• Ashley M Bonilla

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Davie, FL
• Providers in Davie, FL by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.