Michelle Anne Bolton, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT017230 Issued in PA

Practice address

804 New Holland Ave
Lancaster, PA 17602-2163

Phone

(717) 396-7766

Fax

(717) 295-7233

NPI assigned

Nov 2, 2005

Last updated

Mar 16, 2015By the provider in NPPES

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

Other names 1

• Michelle Anne Hartman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1831180520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 NEW HOLLAND AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022163",
            "telephone_number": "717-396-7766",
            "fax_number": "717-295-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 NEW HOLLAND AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022163",
            "telephone_number": "717-396-7766",
            "fax_number": "717-295-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "MICHELLE",
        "middle_name": "ANNE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT017230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "HARTMAN",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey A Bole, PT
• Daralice D Boles, M.S., LPC
• Tianna Pauline Bolinsky, PT
• Laura Boll Peifer, MS, RD
• Laura Boll, CRNP
• Lawrence I. Bonchek, M.D.
• Aubrey Bond, BA
• Christopher Eric Bondy, M.S.ED., ED.M.
• Darryl M Bonfessuto, R.PH.
• Kelly Field Bonneville, PA-C

• Physical Therapist in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.