Sara E. Bolden, DPT
Individual provider Active NPI Physical Therapist · Woodstock, GA
NPI 1265572952 · NPPES record last updated Jul 1, 2021
Key facts
- NPI
- 1265572952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT008248 (GA)
- Practice address
- 3233 S Cherokee LN BLDG 1000
Woodstock, GA 30188-4461 - Phone
- (770) 485-7411
- Fax
- (770) 881-8506
- NPI assigned
- Feb 8, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091207000378 | GA | Practitioner - Physical Therapist in Private Practice | 4688713589 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Rehabilitation & Consulting Limited Partnership | Physical Therapist | Current |
Accepting new patients |
| Advance Rehabilitation & Consulting Limited Partnership | Physical Therapist | Current |
Accepting new patients |
| High Performance Physical Therapy Centers | Physical Therapist | Past | Accepting new patients |
Locations
7423 Adairsville Hwy
Adairsville, GA 30103
Phone (770) 373-9315
3511 Braselton Hwy
Ste G2
Dacula, GA 30019
Phone (404) 367-2082
620 J L White Dr
Ste 110
Jasper, GA 30143
Phone (706) 692-9080
1000 Johnson Ferry Rd
Ste A115
Marietta, GA 30068
Phone (404) 367-2085
1180 Satellite Blvd NW
Ste 100
Suwanee, GA 30024
Phone (404) 367-2080
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT008248 | GA | Yes |
Addresses
Primary practice location
3233 S Cherokee LN BLDG 1000
Woodstock, GA 30188-4461
Mailing address
3233 S Cherokee LN BLDG 1000
Woodstock, GA 30188-4461
Phone (770) 485-7411
Other practice location 1
620 J L White Dr
Suite 110
Jasper, GA 30143-4896
Phone (404) 367-2088
Other providers in Woodstock, GA
- Blossom Bliss LLC
- Lauren Blume
- Cora Bobo
- Jacquelyne R Bodea
- Bodyplex Physical Medicine
- Kristi Marie Bollinger
- Lauren Bolton
- Staci Bond
- Maryah D. Booker
- David Borem
All providers in Woodstock, GA · Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.