Individual provider Active NPI

Alyssa Michelle Bolger, DPT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1356759419
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-034388 Issued in AZ
Practice address
4645 E Chandler Blvd Ste 100
Phoenix, AZ 85048-0432
Phone
(515) 306-7215
NPI assigned
Jul 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 072530 IA
Physical Therapist 225100000X LPT-034388 AZ Primary

Addresses

Primary practice location

4645 E Chandler Blvd Ste 100
Phoenix, AZ 85048-0432

Mailing address

4645 E Chandler Blvd Ste 100
Phoenix, AZ 85048-0432
Phone (515) 306-7215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140905001834 IA Practitioner - Physical Therapist in Private Practice 8224256169 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-034388AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bartek Therapy Services, Inc. Physical Therapist CurrentSince Aug 4, 2014 Accepting new patients

Locations

1810 SW White Birch Cir
Ste 107
Ankeny, IA 50023
Phone (515) 882-2429

5627 NW 86th St
Ste 200
Johnston, IA 50131
Phone (515) 270-0303

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1356759419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 E CHANDLER BLVD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480432",
            "telephone_number": "515-306-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 E CHANDLER BLVD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480432",
            "telephone_number": "515-306-7215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLGER",
        "first_name": "ALYSSA",
        "middle_name": "MICHELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "072530",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-034388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.