Active NPI
Judith L Bolger, PT
- Physical Therapist
- Bristol, NH
National Provider Identifier
1861764870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2530
- Practice address
- 790 Lake St
Bristol, NH 03222-4548 - Phone
- (603) 744-0275
- Fax
- (603) 744-9378
- NPI assigned
- Feb 7, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2530 | NH | Primary |
Addresses
Primary practice location
790 Lake St
Bristol, NH 03222-4548
Mailing address
23 Wildwood Dr
Campton, NH 03223-4259
Phone (603) 254-6939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2530 | NH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328572800000",
"number": "1861764870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 WILDWOOD DR",
"city": "CAMPTON",
"state": "NH",
"postal_code": "032234259",
"telephone_number": "603-254-6939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 LAKE ST",
"city": "BRISTOL",
"state": "NH",
"postal_code": "032224548",
"telephone_number": "603-744-0275",
"fax_number": "603-744-9378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLGER",
"first_name": "JUDITH",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-07",
"last_updated": "2012-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "2530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bristol, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.