Noimy Tan Bolz, PT, CLT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13294 Issued in WI

Practice address

1446 1St Ave
Woodruff, WI 54568-9470

Phone

(715) 358-0610

Fax

(312) 225-3901

NPI assigned

Sep 22, 2010

Last updated

Apr 16, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• RG-Rhinelander, Inc.

  dba Rennes Health & Rehab Center - Rhinelander

  • Skilled Nursing Facility
  • Rhinelander, WI
  • NPI 1407164312
  NPD (past)
• Apex Therapy LLC

  • Physical Therapist
  • Chicago, IL
  • NPI 1043547268
  NPD (past)

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1942518196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "715-387-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 1ST AVE",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "545689470",
            "telephone_number": "715-358-0610",
            "fax_number": "312-225-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLZ",
        "first_name": "NOIMY",
        "middle_name": "TAN",
        "name_prefix": "Ms.",
        "credential": "PT, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-22",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.017103",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly L Beede McKinney, APNP
• Robert Birk Jr., PA-C
• Lauren Bisonic, PHARMD
• Karen A Blaschke, OT
• Jaime L Bollmann Sr., LCSW, CSAC
• Robert M Borger, BS, RPH
• Mary Joy G Borton, PT
• Buffington Optometry LLC
• Kathleen Erin Buffington, O.D.
• Mary C Burg, CADCIII

• Physical Therapist in Woodruff, WI
• Providers in Woodruff, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.