Robert J Bolton, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT06800 Issued in LA

Practice address

215 Staring LN
Baton Rouge, LA 70810-4064

Phone

(225) 444-5764

Fax

(225) 444-5946

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

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.

• Evolve Physical Therapy and Sports

  • Physical Therapy Clinic/Center
  • Baton Rouge, LA
  • NPI 1902378987

  LA, Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Evolve Physical Therapy and Sports 3 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 21, 2022.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1205936366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 STARING LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708104064",
            "telephone_number": "225-444-5764",
            "fax_number": "225-444-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 STARING LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708104064",
            "telephone_number": "225-444-5764",
            "fax_number": "225-444-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "PT06800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amiee Bollich, CRNA
• Earl Bollinger, NNP
• Amanda Robertson Bolton, FNP-C
• Melissa Dawn Bolton
• Michael Todd Bolton, M.D.
• Ronald L. Bombet, MD
• Bon Guianza Therapy & Consultancy, LLC
• Martin C Bonacorso, DDS
• Britani Mouch Bonadona, M.D.
• Jaina Elisabeth Bonanno

• All providers in Baton Rouge, LA
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.