Sara E. Bolden, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT008248 Issued in 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

Last updated

Jul 1, 2021By the provider in NPPES

Sex

Female

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 GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Advance Rehabilitation & Consulting Limited Partnership

  • Physical Therapist
  • Saint Marys, GA
  • NPI 1235434283
  Medicare reassignment NPD
• Women First Rehabilitation

  dba Atlanta Pelvic Rehabilitation Specialists

  • Orthopedic Physical Therapist
  • Woodstock, GA
  • NPI 1225365232
  Authorized official Same address or phone
• Advance Rehabilitation & Consulting Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Jasper, GA
  • NPI 1164115671

  Physical Therapist

  NPD
• High Performance Physical Therapy Centers

  dba Atlanta Falcons Physical Therapy Centers

  • Physical Therapist
  • Suwanee, GA
  • NPI 1467645689
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1265572952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 S CHEROKEE LN BLDG 1000",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884461",
            "telephone_number": "770-485-7411",
            "fax_number": "770-881-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 S CHEROKEE LN BLDG 1000",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884461",
            "telephone_number": "770-485-7411",
            "fax_number": "770-881-8506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 J L White Dr",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "GA",
            "postal_code": "301434896",
            "country_code": "US",
            "telephone_number": "404-367-2088",
            "fax_number": "706-692-1199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLDEN",
        "first_name": "SARA",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2021-07-01",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blossom Bliss LLC
• Lauren Blume
• Cora Bobo, RN
• Jacquelyne R Bodea, PMHNP-BC, CNM
• Bodyplex Physical Medicine
• Kristi Marie Bollinger, PHARM D
• Lauren Bolton, PHARMD
• Staci Bond, L.C.S.W.
• Maryah D. Booker
• David Borem, RBT

• Physical Therapist in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.