Constantine P Bolos, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070011648 Issued in IL

Practice address

711 S Vermont St
Palatine, IL 60067-7138

Phone

(847) 323-7001

Fax

(847) 960-4985

NPI assigned

Dec 20, 2006

Last updated

Mar 30, 2026By the provider in NPPES

Sex

Male

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 IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Group practices

Active Life Physical Therapy LTDGroup PAC ID 9234448945, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Active Life Physical Therapy LTD

  • Physical Therapy Clinic/Center
  • Rolling Meadows, IL
  • NPI 1326421074

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Accelerated Rehabilitation Centers LTD

  • Physical Therapist
  • Westmont, IL
  • NPI 1205875713
  NPD (past)
• Midwest Rehabilitation Group Inc

  • Physical Therapist
  • Arlington Heights, IL
  • NPI 1174779623
  NPD (past)
• Rehab Management Specialists, PC

  dba Fyzical Therapy and Balance Center Harvard

  • Physical Therapy Clinic/Center
  • Harvard, IL
  • NPI 1720104110

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1184788663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S VERMONT ST",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600677138",
            "telephone_number": "847-323-7001",
            "fax_number": "847-960-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S VERMONT ST",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600677138",
            "telephone_number": "847-323-7001",
            "fax_number": "847-960-4985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Kirchoff Rd",
            "address_purpose": "LOCATION",
            "city": "Rolling Meadows",
            "state": "IL",
            "postal_code": "600081824",
            "country_code": "US",
            "telephone_number": "847-618-3880",
            "fax_number": "847-618-3889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "507 S Vermont St",
            "address_purpose": "LOCATION",
            "city": "Palatine",
            "state": "IL",
            "postal_code": "600676947",
            "country_code": "US",
            "telephone_number": "847-323-7001",
            "fax_number": "847-960-4985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLOS",
        "first_name": "CONSTANTINE",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070011648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Alan Blackstone, DDS
• Kimberly Blecha, LCPC, ATR
• Peter M Blendonohy, D.O.
• Body in Gear LLC
• Jennifer Boland
• Grant Bomkamp
• Susan Bong
• Gayle O Booth, MS RD LDN CDE
• Lisa Borre
• Larrissa Bowman

• Physical Therapist in Palatine, IL
• Providers in Palatine, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.