Vernon Austin Bollinger, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT41347 Issued in CA

Practice address

11344 Coloma Rd
Ste 680
Gold River, CA 95670-4457

Phone

(916) 853-0255

Fax

(916) 853-0259

NPI assigned

Jun 12, 2014

Sex

Male

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)

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 and National Provider Directory roles.

• Folsom Physical Therapy & Training Center Inc

  • Physical Therapy Clinic/Center
  • Folsom, CA
  • NPI 1376379248

  Physical Therapist

  NPD
• Schaack Physical Therapy PC

  • Physical Therapist
  • Lincoln, CA
  • NPI 1477987261
  NPD (past)
• Torrey-Nickerson Physical Therapy

  • Specialist
  • Sacramento, CA
  • NPI 1073638698

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1477967974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 NATOMA ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956302615",
            "telephone_number": "916-355-8500",
            "fax_number": "916-353-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11344 COLOMA RD",
            "address_2": "STE 680",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956704457",
            "telephone_number": "916-853-0255",
            "fax_number": "916-853-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLINGER",
        "first_name": "VERNON",
        "middle_name": "AUSTIN",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-12",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT41347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bel Air Market Inc
• Berk Street Enterprises LLC
• Berk Street Enterprises, Inc
• Grace Anna Bermudez-Soria
• Nicole Bobadilla
• Sydney Brahm
• Warren Frank Brandle, M.D.
• Al Brooks, MD
• Randy Brown, OD
• Gwen Burson

• All providers in Gold River, CA
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; 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.