Judith Bolles, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0000964 Issued in CO

Practice address

5377 Manhattan Cir
Suite 202
Boulder, CO 80303-4333

Phone

(303) 442-0621

Fax

(303) 442-8218

NPI assigned

Nov 14, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Registered Physical Therapy Associates, PC

  • Physical Therapist
  • Boulder, CO
  • NPI 1316083348
  NPD (past)

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1326580929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5377 MANHATTAN CIR",
            "address_2": "SUITE 202",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5377 MANHATTAN CIR",
            "address_2": "SUITE 202",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034333",
            "telephone_number": "303-442-0621",
            "fax_number": "303-442-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLES",
        "first_name": "JUDITH",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0000964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Boire, LCSW
• Lizette Bolanos-Nauth, OTR/L
• Anne Bolgert
• Mary Ann Bolkovatz, CNS
• Michael A Bollenbacher, O.D.
• Anjenean Behold Bolster, RN, MSN, PNP
• Elizabeth Bolton, BS, MS, LMT
• Beverly Ann Bomhoff, MSW/LCSW
• David Bonaiuto
• Rachael L Bonaiuto, LPC, BC-DMT

• Physical Therapist in Boulder, CO
• Providers in Boulder, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.