VALDORA L BOLLENBACK (NPI# 1114265709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114265709 |
| Entity Type | Individual |
| Full Name | VALDORA L BOLLENBACK |
| Credential | D.P.T. |
| Practice Address |
910 N Jefferson St Jacksonville FL 32209-6810 |
| Practice Telephone | 9043607022 |
| Practice Fax Number | 9047984545 |
| Mailing Telephone | 9043607022 |
| Mailing Fax Number | 9047984545 |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT25646 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
910 N JEFFERSON ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32209-6810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538129002 | Managed Access To Child Health Inc | Case Management | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2006-03-27 |
| 1205467230 | Isabella M Hower | Occupational Therapist | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2020-01-29 |
| 1053808907 | Franchescka Kephart | Social Worker | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2018-04-17 |
| 1144717083 | Brandie Crawley | Social Worker | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2018-04-17 |
| 1992216055 | Cristina Solimeno | Physical Therapist | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2017-10-17 |
| 1083135248 | Yesenia Ivette Moss | Case Manager/Care Coordinator | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2017-06-28 |
| 1760903983 | John Roberts | Case Manager/Care Coordinator | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2017-06-28 |
| 1124473509 | Rebecca Kickham | Speech-Language Pathologist | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2016-05-04 |
| 1184084576 | Kaitlin Dudziec | Occupational Therapist | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2016-02-29 |
| 1538527999 | Anthony Cogdell | Social Worker | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2016-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506183 | Hayley M Shade | Student in an Organized Health Care Education/Training Program | 655 8th St. W., 4th Floor, Lrc 653-1 West 8th Street, L18, Jacksonville, FL 32209 | 2020-04-15 |
| 1407484629 | Micah Christine Turpeau | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2020-04-01 |
| 1730716366 | Nikki Javia | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St, Fl 4, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1336776061 | Samuel Kamoroff | Student in an Organized Health Care Education/Training Program | 653-1 West 8th Street, 4th Floor, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1376194092 | Donald Wayne Johnson Jr. | Pharmacist | Uf Health Jacksonville, 655 West 8th Street, Jacksonville, FL 32209 | 2019-09-24 |
| 1871141838 | Anton Daran Armstrong | Counselor | 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 | 2019-09-03 |
| 1295296499 | Christian King | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2019-03-29 |
| 1013478403 | David William Barton | Orthopaedic Surgery | 655 W 8th St, Box C-126, Jacksonville, FL 32209 | 2019-03-27 |
| 1912497108 | Lisa Jordan | Adult Companion | 1515 W 31st St, Jacksonville, FL 32209 | 2018-05-14 |
| 1275020968 | Eloisa Anne Ello-esma | Nurse Practitioner | W. 8th Street, Jacksonville, FL 32209 | 2018-04-18 |
| Find all providers in zip 32209 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104198 | Kristen Dragotta | Physical Therapist | 8876 A C Skinner Pkwy Unit 8215, Jacksonville, FL 32256-0909 | 2020-11-04 |
| 1609483361 | Coastal Concierge Physical Therapy LLC | Physical Therapist | 4213 Marblewood Ln, Jacksonville, FL 32216-3614 | 2020-09-28 |
| 1902413644 | Richard Myerston | Physical Therapist | 6650 Corporate Center Pkwy Apt 717, Jacksonville, FL 32216-8730 | 2020-09-27 |
| 1003422551 | Neuro Pt, Pllc | Physical Therapist | 8777 Hampshire Glen Dr S, Jacksonville, FL 32256-9568 | 2020-09-21 |
| 1811500796 | Michael Keagan Kretz | Physical Therapist | 6320 Saint Augustine Rd Ste 1, Jacksonville, FL 32217-2813 | 2020-08-28 |
| 1235741950 | Rachel Peters | Physical Therapist | 8214 Princeton Square Blvd E Apt 808, Jacksonville, FL 32256-8309 | 2020-08-24 |
| 1780293985 | Andrew Willie Oliver | Physical Therapist | 4745 Sutton Park Ct Ste 403, Jacksonville, FL 32224-0255 | 2020-07-24 |
| 1821616004 | Andria Wilson | Physical Therapist | 11705 San Jose Blvd Ste 111, Jacksonville, FL 32223-1653 | 2020-07-14 |
| 1730701509 | Julie Anne Troche | Physical Therapist | 13421 Cedar Hammock Way, Jacksonville, FL 32226-4603 | 2020-05-14 |
| 1891335972 | Focus Physical Therapy Inc | Physical Therapist | 8301 Cypress Plaza Dr Ste 116, Jacksonville, FL 32256-4426 | 2020-01-07 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32209 |
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| 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.