Mary Elizabeth Bolin, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5728 Issued in KY

Practice address

303 East 14TH Street
Owensboro, KY 42303-3047

Phone

(270) 926-7779

Fax

(270) 926-7677

NPI assigned

Sep 4, 2021

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 IN, KY2 enrollments

Enrollment records 2

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.

• Prorehab Inc

  • Physical Therapist
  • Evansville, IN
  • NPI 1770565509

  IN, KY, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Orthopaedics-Indianapolis, Inc

  • Orthopaedic Surgery Physician
  • Indianapolis, IN
  • NPI 1336252451

  IN, Physical Therapist

  Medicare reassignment NPD
• Tri-State Orthopaedic Surgeons, Inc.

  • Orthopaedic Surgery Physician
  • Evansville, IN
  • NPI 1073501003

  IN

  Medicare reassignment NPD
• Prorehab Inc

  • Durable Medical Equipment & Medical Supplies
  • Vincennes, IN
  • NPI 1841014933

  Physical Therapist

  Care Compare group NPD
• Prorehab Inc

  • Physical Therapy Clinic/Center
  • Effingham, IL
  • NPI 1124652102

  Physical Therapist

  Care Compare group NPD (past)
• Prorehab Inc

  • Durable Medical Equipment & Medical Supplies
  • Evansville, IN
  • NPI 1124293030
  Care Compare group
• Prorehab Inc

  • Durable Medical Equipment & Medical Supplies
  • Haubstadt, IN
  • NPI 1770866659
  Care Compare group
• Prorehab Inc

  • Durable Medical Equipment & Medical Supplies
  • Evansville, IN
  • NPI 1982878823
  Care Compare group
• Prorehab, Inc

  • Physical Therapist
  • Oakland City, IN
  • NPI 1346826534
  Care Compare group
• Prorehab, Inc

  • Durable Medical Equipment & Medical Supplies
  • Boonville, IN
  • NPI 1578083432
  Care Compare group
• Prorehab, Inc

  • Durable Medical Equipment & Medical Supplies
  • Ferdinand, IN
  • NPI 1972012953
  Care Compare group
• Orthopaedics-Indianapolis, Inc

  • Orthopaedic Surgery Physician
  • Westfield, IN
  • NPI 1013371277
  NPD

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prorehab Inc 81 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1630713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1497423248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM COURT SUITE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "502-882-9379",
            "fax_number": "502-805-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 EAST 14TH STREET",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033047",
            "telephone_number": "270-926-7779",
            "fax_number": "270-926-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLIN",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-04",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "5728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Boeglin
• Marla D Boehman, LCSW
• Boldage Pace Kentucky LLC
• Sarah Marie Boles, DPT
• Shafe D. Boles, M.D.
• Michael Boling, CSW
• Mychal Bolton
• Bon Harbor RX, LLC
• James Wes Booker, DMD
• Kerri Booker

• All providers in Owensboro, KY
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.