Stephanie Ann Bologa, M.S.,P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

006643 Issued in CT

Practice address

995 Hopmeadow St
Simsbury, CT 06070-1812

Phone

(860) 966-2152

Fax

(860) 651-6679

NPI assigned

May 4, 2007

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Anb-Ptsma Holdings, Inc.

  dba Physical Therapy & Sports Medicine Centers

  • Physical Therapist
  • West Hartford, CT
  • NPI 1659453371
  Medicare reassignment NPD
• Essential Physical Therapy, LLC

  • Sports Physical Therapist
  • Simsbury, CT
  • NPI 1053618728
  NPD (past) Authorized official

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861604639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ANJA DR",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060701546",
            "telephone_number": "860-651-6679",
            "fax_number": "860-651-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 HOPMEADOW ST",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060701812",
            "telephone_number": "860-966-2152",
            "fax_number": "860-651-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLOGA",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.S.,P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "006643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Bielawski
• John A Bierly, D.M.D.
• Birch Tree Counseling LLC
• Jayne Wilson Blanchette
• Blue Sky Dental PLLC
• Eugene Anthony Bolognese, DC
• Donna Bouchard, APRN
• Casey Bowen
• Caryn Brady
• Emily C Breno, LCSW

• Physical Therapist in Simsbury, CT
• Providers in Simsbury, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.