BOLTON PHYSICAL THERAPY & SPORTS PERFORMANCE LLC
NPI 1265650188
Clinic/Center - Physical Therapy in Bolton, CT
About Bolton Physical Therapy & Sports Performance Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOLTON PHYSICAL THERAPY & SPORTS PERFORMANCE LLC (NPI 1265650188) is a healthcare organization registered as a physical therapy in Bolton, Connecticut and active in the NPI registry since April 2007. The organization lists Bruce Alan Langevin, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bolton Physical Therapy & Sports Performance Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Bolton Physical Therapy & Sports Performance LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Bolton Physical Therapy & Sports Performance LLC's NPI number?
The NPI number for Bolton Physical Therapy & Sports Performance LLC is 1265650188. It was assigned to this organization in the NPPES registry on April 23, 2007.
Where is Bolton Physical Therapy & Sports Performance LLC located?
Bolton Physical Therapy & Sports Performance LLC is located at 921 Boston Turnpike, Bolton, CT 06043. The listed phone number is (860) 646-8758.
What is Bolton Physical Therapy & Sports Performance LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Bolton Physical Therapy & Sports Performance LLC enrolled in Medicare?
Yes. Bolton Physical Therapy & Sports Performance LLC is registered in the Medicare PECOS enrollment system.
When is Bolton Physical Therapy & Sports Performance LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Connecticut, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Bolton Physical Therapy & Sports Performance LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Bolton Physical Therapy & Sports Performance LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Bolton Physical Therapy & Sports Performance LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Bolton Physical Therapy & Sports Performance LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Bolton Physical Therapy & Sports Performance LLC was last updated on July 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Bolton Physical Therapy & Sports Performance Llc · NPI 1265650188
Physical Therapy organization in Bolton, Connecticut. Organization record, active in the CMS NPPES registry since April 23, 2007.
## Identity
- **NPI:** 1265650188 (Entity type: Organization)
- **Enumerated:** April 23, 2007
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Bruce Langevin, OWNER
## Practice location
- **Address:** 921 BOSTON TURNPIKE, Bolton, CT 06043
- **Phone:** (860) 646-8758 · **Fax:** (860) 646-0256
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Connecticut, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 13, 2012
- **Other identifiers:** Other 080005532CT08 (CT); Medicare ID-Type Unspecified 650000796 (CT); Other 44901 (CT); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1265650188) · Data from the CMS NPPES public registry.