WILLIAM ANTHONY BOLESTA (NPI# 1669092714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669092714 |
| Entity Type | Individual |
| Full Name | WILLIAM ANTHONY BOLESTA |
| Credential | BOC |
| Practice Address |
11 Bondi Way Reisterstown MD 21136-5102 |
| Practice Telephone | 4432509021 |
| Mailing Telephone | 4432509021 |
| Enumeration Date | 2020-04-19 |
| Last Update Date | 2020-04-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
11 BONDI WAY |
| City | REISTERSTOWN |
| State | MD |
| Zip Code | 21136-5102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791276 | Iyawamiwa Shittu | Counselor | 11 Chartley Drive, Reisterstown, MD 21136 | 2019-07-11 |
| 1508334517 | Amanda Britton | Speech-Language Pathologist | 12039 Reisterstown Rd., Reisterstown, MD 21136 | 2018-11-07 |
| 1366964272 | Marc Manko | Physician Assistant | 12608 Mt. Laurel Ct., Reisterstown, MD 21136 | 2017-07-12 |
| 1518325794 | Diana Jebaraj | Occupational Therapist | 15 Sunday Ct, Reisterstown, MD 21136 | 2016-02-03 |
| 1164816823 | Golda-amit Incorporated | Supports Brokerage | 11919 Tarragon Rd, Apt A, Reisterstown, MD 21136 | 2015-03-20 |
| 1073925210 | Irina Koyfman | Nurse Practitioner | 321 Chamborley Drive, Reisterstown, MD 21136 | 2014-05-22 |
| 1033462627 | Tracy Brenton | Counselor | 14450 Hanover Pike, Reisterstown, MD 21136 | 2012-10-19 |
| 1760738884 | Bonnie Lynne Haines | Massage Therapist | 141 Westminster Pike, Reisterstown, MD 21136 | 2012-07-26 |
| 1588921464 | Alexsandr Fishman | Dentist | 11710 Reisterstown Rd Ste 201, Reisterstown, MD 21136 | 2012-04-18 |
| 1992000954 | Darlene L. Reaka Israel | Nurse Practitioner | 23 Chartley Park Rd, Reisterstown, MD 21136 | 2011-01-21 |
| Find all providers in zip 21136 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609402973 | Deborah Merritt Plescia | Orthotist | 14325 Long Green Dr, Silver Spring, MD 20906-2077 | 2020-03-19 |
| 1265062343 | Kelvin Smith Jr. | Orthotist | 6000 Executive Blvd Ste 500, North Bethesda, MD 20852-3858 | 2020-01-17 |
| 1114427234 | John Logue | Orthotist | 4000 Old Court Rd Ste 105a, Pikesville, MD 21208-2800 | 2018-02-15 |
| 1457878704 | Michelle Koehler | Orthotist | 100 West Rd Ste 202, Towson, MD 21204-2357 | 2017-08-28 |
| 1942741723 | John Vance | Orthotist | Wrnmmc Orthotics, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2017-03-14 |
| 1366983223 | Jamie Gandert | Orthotist | 10416 Montrose Ave Apt 3, Bethesda, MD 20814-4139 | 2017-03-13 |
| 1497296537 | Benjamin Dale Fortson | Orthotist | 15200 Shady Grove Rd Ste 102, Rockville, MD 20850-3218 | 2017-03-08 |
| 1548699713 | Heather Morgan | Orthotist | 6750 Alexander Bell Dr, Suite 120, Columbia, MD 21046-2166 | 2013-11-07 |
| 1255768172 | Brian Smith | Orthotist | 209 Milford St, Suite C, Salisbury, MD 21804-7099 | 2013-10-09 |
| 1952336786 | Robert Lee Tarring Jr. | Orthotist | 610 W Joppa Rd, Towson, MD 21204-3834 | 2006-07-11 |
| Find all providers with the same taxonomy | ||||
| City | REISTERSTOWN |
| Zip Code | 21136 |
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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.