Sunday D Bolarin, PT, MBA, MPM

Individual provider Active NPI Physical Therapist · Westfield, IN

NPI 1679878490 · NPPES record last updated Nov 25, 2019

Key facts

NPI
1679878490
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
05004275A (IN)
Practice address
16838 Glen CT
Westfield, IN 46062-6841
Phone
(317) 331-3872
Fax
(844) 261-4997
NPI assigned
Jan 26, 2011
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana Luna Care Physical Therapy LLC (5 clinicians)

Practice addresses (Care Compare)

11 Municipal Dr
Suite 200
Fishers, IN 46038-1634
Phone (866) 525-3175

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
05004275AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Home Health Services, Inc. Current
since May 7, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05004275A IN Yes

Addresses

Primary practice location

16838 Glen CT
Westfield, IN 46062-6841

Mailing address

16838 Glen CT
Westfield, IN 46062-6841
Phone (317) 331-3872

Other practice location 1

15439 Wildflower Ln
Westfield, IN 46074-9779
Phone (317) 331-3872

Other practice location 2

118 Medical Dr
Carmel, IN 46032-2923
Phone (317) 573-1037

Other practice location 3

15439 Wildflower LN
Westfield, IN 46074-9779
Phone (765) 393-0618

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address sbolarin@cornerstoneinvestment.org Direct

Other providers in Westfield, IN

All providers in Westfield, IN · Physical Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.