BOLTON PHYSICAL THERAPY & SPORTS PERFORMANCE LLC (NPI# 1265650188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265650188 |
| Entity Type | Organization |
| Organization Name | BOLTON PHYSICAL THERAPY & SPORTS PERFORMANCE LLC |
| Practice Address |
921 Boston Turnpike Bolton CT 06043 |
| Mailing Address |
Po Box 9518 Bolton CT 06043-9518 |
| Practice Telephone | 8606468758 |
| Practice Fax Number | 8606460256 |
| Mailing Telephone | 8606468758 |
| Mailing Fax Number | 8606460256 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2012-07-13 |
| Authorized Official Name | MR. BRUCE ALAN LANGEVIN (OWNER) |
| Authorized Official Telephone | 8606468758 |
| Authorized Official Credential | PHYSICAL THERAPI |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
005532 | CT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | ORTHONET CIGNA | 44901 | 01 |
| CT | BLUE CROSS BLE SHIELD | 080005532CT08 | 01 |
| CT | ORTHONET HEALTHNET | 0044901 | 01 |
| Street Address |
921 BOSTON TURNPIKE |
| City | BOLTON |
| State | CT |
| Zip Code | 06043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992888531 | Bruce Alan Langevin | Physical Therapist | 921 Boston Turnpike, Bolton, CT 06043 | 2006-10-24 |
| 1306995725 | Family Medicine Partnership, PC | Nurse Practitioner | 921 Boston Turnpike, Bolton, CT 06043 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508068313 | Randy H Lichtman | Dentist | 921 Boston Tpke., Bolton, CT 06043 | 2007-06-04 |
| 1881748739 | Ginger M Pollack Dmd PC | Dentist | 665 Boston Turnpike, Bolton, CT 06043 | 2007-01-22 |
| 1215036785 | Sandra Sherri Butler | Social Worker | 11 Rocco Rd, Bolton, CT 06043 | 2006-09-21 |
| 1710251798 | Ginger Michelle Pollack | Dentist | 665 Boston Tpke, Bolton, CT 06043-7401 | 2012-03-08 |
| 1780781070 | Bolton Pharmacy Inc | Pharmacy | 667 Boston Tpke, Bolton, CT 06043-7401 | 2006-09-20 |
| 1871561092 | Ronald L Buckman | Family Medicine | 921 Boston Tpke, Bolton, CT 06043-7403 | 2006-03-14 |
| 1992132161 | Family Medicine Partership | Nurse Practitioner | 921 Boston Tpke, Ste A, Bolton, CT 06043-7403 | 2013-10-03 |
| 1104920065 | Piper P Lillard | Family Medicine | 921 Boston Tpke, Suite 2, Bolton, CT 06043-7403 | 2006-09-12 |
| 1487039608 | Sarah Zalewski | Counselor | 1020 Boston Tpke, Bolton, CT 06043-7406 | 2015-07-29 |
| 1427194539 | Bolton Board of Education | Local Education Agency (LEA) | 108 Notch Rd, Bolton, CT 06043-7431 | 2007-01-29 |
| Find all providers in zip 06043 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070827 | Hometown Health, LLC | Clinic/Center | 54 Hazard Ave # 161, Enfield, CT 06082-3845 | 2020-10-10 |
| 1811502867 | Zion Pt Ct PC | Clinic/Center | 1555 Post Road East, Inside Sherpa, Westport, CT 06880 | 2020-09-15 |
| 1053920439 | Oss Sports Physical Therapy | Clinic/Center | 500 Newfield Ave Ste 11, Stamford, CT 06905-3745 | 2020-07-30 |
| 1558983403 | Centrality Physical Therapy & Wellness, PC | Clinic/Center | 705 Boston Post Rd Ste 1b, Guilford, CT 06437-2733 | 2020-05-14 |
| 1639703622 | Dr Yoon Physical Therapy Inc | Clinic/Center | 609 Farmington Ave Ste Ll2, Hartford, CT 06105-3081 | 2020-02-27 |
| 1558908897 | Duncaster, Inc. | Clinic/Center | 30 Loeffler Rd., Bloomfield, CT 06002 | 2019-12-05 |
| 1609413491 | Beyond Physical Therapy LLC | Clinic/Center | 120 Steele Rd, Bristol, CT 06010-5672 | 2019-11-29 |
| 1588214381 | Good Physio Clinic Inc | Clinic/Center | 701 Cottage Grove Rd Ste 110, Bloomfield, CT 06002-3080 | 2019-09-13 |
| 1972169241 | Align Health LLC | Clinic/Center | 133 Columbia Blvd, Waterbury, CT 06710-1706 | 2019-05-13 |
| 1396209029 | My Pain Guy LLC | Clinic/Center | 50 Quality St Unit 110615, Trumbull, CT 06611-7725 | 2019-01-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BOLTON PHYSICAL THERAPY & SPORTS PERFORMANCE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.