TINNA MARIE BOLONGAN PT
NPI 1184954364
Physical Therapist in Chicago, IL

Active since January 11, 2010
1401 N CALIFORNIA AVE, CHICAGO, IL 60622(773) 276-5757 Get Directions Write a Review

NPPES record last updated: January 11, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tinna Marie Bolongan Pt NPPES

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

TINNA MARIE BOLONGAN PT (NPI 1184954364) is an individual physical therapist in Chicago, Illinois, licensed in Illinois (070015702) and active in the NPI registry since January 2010. She is a graduate of Other (2004).

NPPES Registry Identity

NPI1184954364
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameTINNA MARIE BOLONGANCredential: PT
Location Address1401 N CALIFORNIA AVEChicago, IL 60622-1602
Mailing Address1401 N California AveChicago, IL 60622-1602
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJanuary 11, 2010
NPI 1184954364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in IL · 070015702
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

1401 N CALIFORNIA AVE, Chicago, IL 60622

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tinna Marie Bolongan Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305315052
PECOS Enrollment IDI20260512002836

Other Providers at the Same Location NPPES 4

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

Skilled Nursing Facility
1401 N CALIFORNIA AVE
CHICAGO, IL 60622
Skilled Nursing Facility
1401 N CALIFORNIA AVE
CHICAGO, IL 60622
Skilled Nursing Facility
1401 N CALIFORNIA AVE
CHICAGO, IL 60622
Occupational Therapist
1401 N CALIFORNIA AVE
CHICAGO, IL 60622

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 Tinna Marie Bolongan's NPI number?

The NPI number for Tinna Marie Bolongan is 1184954364. It was assigned to this individual provider in the NPPES registry on January 11, 2010.

Where is Tinna Marie Bolongan located?

Tinna Marie Bolongan practices at 1401 N California Ave, Chicago, IL 60622. The listed phone number is (773) 276-5757.

What is Tinna Marie Bolongan's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Tinna Marie Bolongan enrolled in Medicare?

Yes. Tinna Marie Bolongan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tinna Marie Bolongan was last updated on January 11, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.