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Katelyn R. Bolden, PT

NPI 1134013568ActiveIndividual· Physical Therapist· Plymouth, WI

Physical Therapist (PT) with Aurora Medical Group, Inc., practicing in Plymouth, Wisconsin. Enrolled in Medicare as practitioner - physical therapist in private practice.

Overview

NPI1134013568
StatusActive
Entity typeIndividual
CredentialPT
Sole proprietorNo
NPI issuedJun 9, 2025
Last updated in NPPESDec 1, 2025
Certified by providerDec 1, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X17239WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (WI)

Medicare sources and data years

Education and affiliations

Graduation year2025
Medicare specialtyPhysical Therapist In Private Practice

Medical group

Source: CMS Care Compare

Other physical therapists in Plymouth

All 29 physical therapists in Plymouth · All physical therapists in Wisconsin