Individual provider Active NPI

Courtney Bolin, DPT

  • Physical Therapist
  • Abilene, TX
National Provider Identifier
1841885548
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1059 N Judge Ely Blvd
Abilene, TX 79601-3853
Phone
(325) 232-8500
NPI assigned
Mar 4, 2021
Last updated
Mar 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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 Primary

Addresses

Primary practice location

1059 N Judge Ely Blvd
Abilene, TX 79601-3853

Mailing address

2074 Antilley Rd
Abilene, TX 79606-5209
Phone (325) 690-9700

Other practice location 1

2074 Antilley Rd
Abilene, TX 79606-5209
Phone (325) 690-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210429000069 TX Practitioner - Physical Therapist in Private Practice 3375952583 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
3DPT, PLLCGroup PAC ID 3072673003, 18 clinicians

Practice addresses (Care Compare)

3500 Oak Lawn Ave
Suite 240
Dallas, TX 75219-4329
Phone (214) 528-3378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
3DPT, PLLC Physical Therapist CurrentSince Jun 13, 2022 Accepting new patients
Asmo Overhead, LLP Physical Therapist CurrentSince Apr 12, 2021 Accepting new patients
Asmo Overhead, LLP CurrentSince Apr 12, 2021 Accepting new patients

Locations

1059 N Judge Ely Blvd
Abilene, TX 79601
Phone (325) 232-8500

2074 Antilley Rd
Abilene, TX 79606
Phone (325) 690-9700

3500 Oak Lawn Ave
Ste 240
Dallas, TX 75219
Phone (214) 528-3378

8070 Park Ln
Ste 130
Dallas, TX 75231
Phone (469) 372-0021

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": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1841885548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 ANTILLEY RD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065209",
            "telephone_number": "325-690-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 N JUDGE ELY BLVD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796013853",
            "telephone_number": "325-232-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2074 Antilley Rd",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796065209",
            "country_code": "US",
            "telephone_number": "325-690-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLIN",
        "first_name": "COURTNEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.