Justine Barye Bolton, PT, DPT, ATC, LAT
NPI 1174002364ActiveIndividual· Physical Therapist· Independence, MO
Physical Therapist (PT, DPT, ATC, LAT) with Fox Rehabilitation Services PT Mo LLC, practicing in Independence, Missouri. Medicare paid $83,976 for services to 60 patients in 2024.
Overview
| NPI | 1174002364 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT, ATC, LAT |
| Sole proprietor | No |
| NPI issued | Aug 9, 2018 |
| Last updated in NPPES | Feb 24, 2025 |
| Certified by provider | Feb 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2018028574 | MO |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | 2015028356 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 60 |
|---|---|
| Services billed | 4,216 across 11 procedure codes |
| Paid by Medicare | $83,976 |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Fox Rehabilitation Services PT Mo LLCSaint Louis, MO · 30 clinicians
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