Nicholos P Bollin, MPT

Individual provider Active NPI Physical Therapist · Crystal River, FL

NPI 1962336081 · NPPES record last updated Jun 12, 2026

Key facts

NPI
1962336081
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT22980 (FL)
Practice address
3684 N Citrus Ave
Crystal River, FL 34428-6033
Phone
(352) 795-4114
Fax
(352) 563-2438
NPI assigned
Jun 12, 2026
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT22980 FL Yes

Addresses

Primary practice location

3684 N Citrus Ave
Crystal River, FL 34428-6033

Mailing address

3684 N Citrus Ave
Crystal River, FL 34428-6033
Phone (352) 795-4114

Other providers in Crystal River, FL

All providers in Crystal River, FL · Physical Therapist in Florida

Sources for this page

Verify at the official NPI Registry.