Janet Bolton, PT
Individual provider Active NPI Physical Therapist · Jena, LA
NPI 1811014244 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1811014244
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 3687 (LA)
- Practice address
- 187 Ninth Street
Jena, LA 71342-2780 - Phone
- (318) 992-9200
- Fax
- (318) 992-9280
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3687 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid State Orthopaedic & Sports Medicine Center, LLC | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3687 | LA | Yes |
Addresses
Primary practice location
187 Ninth Street
Jena, LA 71342-2780
Mailing address
187 Ninth St
PO Box 2780
Jena, LA 71342-2780
Phone (318) 992-9200
Other providers in Jena, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.