Natalie Bollt, PT

Individual provider Active NPI Physical Therapist · Pinecrest, FL

NPI 1902636087 · NPPES record last updated Aug 5, 2024

Key facts

NPI
1902636087
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT41921 (FL)
Practice address
8185 SW 117TH St
Pinecrest, FL 33156-4448
Phone
(786) 815-3144
NPI assigned
Aug 5, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2263 SW 37TH Ave
Apt 735
Miami, FL 33145-3270

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260626003903 FL Practitioner - Physical Therapist in Private Practice 6204309552 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT41921FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Old Bull Sports Medicine and Rehab Past
since Aug 11, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT41921 FL Yes

Addresses

Primary practice location

8185 SW 117TH St
Pinecrest, FL 33156-4448

Mailing address

8185 SW 117TH St
Pinecrest, FL 33156-4448

Other providers in Pinecrest, FL

All providers in Pinecrest, FL · Physical Therapist in Florida

Sources for this page

Verify at the official NPI Registry.