Individual provider Active NPI

Sunday D Bolarin, PT, MBA, MPM

  • Physical Therapist
  • Westfield, IN
National Provider Identifier
1679878490
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05004275A Issued in IN
Practice address
16838 Glen CT
Westfield, IN 46062-6841
Phone
(317) 331-3872
Fax
(844) 261-4997
NPI assigned
Jan 26, 2011
Last updated
Nov 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Specialties & licenses 1

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

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 1

TypeEndpointUseAffiliation
Direct Messaging Address sbolarin@cornerstoneinvestment.org Direct

Medicare participation

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

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 8527421346, 5 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration

Practice roles

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

Interoperability endpoints

  • Direct secure messaging: sbolarin@cornerstoneinvestment.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1679878490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16838 GLEN CT",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460626841",
            "telephone_number": "317-331-3872",
            "fax_number": "844-261-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16838 GLEN CT",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460626841",
            "telephone_number": "317-331-3872",
            "fax_number": "844-261-4997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15439 Wildflower Ln",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "IN",
            "postal_code": "460749779",
            "country_code": "US",
            "telephone_number": "317-331-3872",
            "fax_number": "765-649-2031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460322923",
            "country_code": "US",
            "telephone_number": "317-573-1037",
            "fax_number": "866-785-4924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15439 WILDFLOWER LN",
            "address_purpose": "LOCATION",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460749779",
            "country_code": "US",
            "telephone_number": "765-393-0618",
            "fax_number": "765-649-2031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLARIN",
        "first_name": "SUNDAY",
        "middle_name": "D",
        "credential": "PT, MBA, MPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-26",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05004275A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbolarin@cornerstoneinvestment.org",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16838 Glen Ct",
            "city": "Westfield",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460626841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.