SHANNON M BOLGER PT, DPT
NPI 1124306394
Physical Therapist - Pediatrics in Rochester, NY

Active since July 21, 2011
3255 BRIGHTON HENRIETTA TOWN LINE RD, SUITE 102, ROCHESTER, NY 14623(585) 427-2977 Get Directions Write a Review

NPPES record last updated: July 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon M Bolger Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON M BOLGER PT, DPT (NPI 1124306394) is an individual pediatrics provider in Rochester, New York, licensed in New York (034096) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1124306394
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameSHANNON M BOLGERCredential: PT, DPT
Location Address3255 BRIGHTON HENRIETTA TOWN LINE RD, SUITE 102Rochester, NY 14623-2806
Mailing Address3255 Brighton Henrietta Town Line Rd, Suite 102Rochester, NY 14623-2806
Sole ProprietorNo
Enumeration DateJuly 21, 2011
NPI 1124306394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License Licensed in NY · 034096
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
3255 BRIGHTON HENRIETTA TOWN LINE RD, Rochester, NY 14623

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
3255 BRIGHTON HENRIETTA TOWN LINE RD, SUITE 102
ROCHESTER, NY 14623
Specialist
3255 BRIGHTON HENRIETTA TOWN LINE RD, SUITE 102
ROCHESTER, NY 14623
Physical Therapist
3255 BRIGHTON HENRIETTA TOWN LINE RD, SUITE 102
ROCHESTER, NY 14623
Speech-Language Pathologist
3255 BRIGHTON HENRIETTA TOWN LINE RD, SUITE 102
ROCHESTER, NY 14623
Physical Therapist
3255 BRIGHTON HENRIETTA TOWN LINE RD, SUITE 102
ROCHESTER, NY 14623

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Bolger's NPI number?

The NPI number for Shannon Bolger is 1124306394. It was assigned to this individual provider in the NPPES registry on July 21, 2011.

Where is Shannon Bolger located?

Shannon Bolger practices at 3255 Brighton Henrietta Town Line Rd Suite 102, Rochester, NY 14623. The listed phone number is (585) 427-2977.

What is Shannon Bolger's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Shannon Bolger was last updated on July 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.