CORRINE CELESTE BOLLES (PT, DPT) – Physical Therapist, NPI 1245899723

CORRINE CELESTE BOLLES (PT, DPT) is a healthcare provider. based in Lithonia, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT013981 (GA). The NPI Number for CORRINE CELESTE BOLLES (PT, DPT) is 1245899723

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
CORRINE CELESTE BOLLES (PT, DPT)
NPI
1245899723
Phone
(678) 418-8072
Address
6000 HILLANDALE DR STE 145
Enumeration Date
10 June 2019
Last Update Date
2 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6784188072
Graduation Year
2019 (7 years ago)
PAC ID
4486980711
Group Practice PAC ID
8325059504
Professional Enrollment ID
I20190724003612
Address ID
GA300584860ST6000XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,871 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for CORRINE CELESTE BOLLES (PT, DPT)

  • 6000 HILLANDALE DR STE 145

    LITHONIA, GA 300584860

    Phone: (678) 418-8072

    Fax: (678) 418-8072

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-07-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190724003612IPhysical Therapist In Private PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes36338$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes15030$0
97530Therapy procedure using functional activities8923$0
97150Therapy procedure in a group setting7522$0
97140Therapy procedure using manual technique, each 15 minutes3518$0
View full utilization report →

Insurance plans in this area (ZIP 30058)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325059504View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAL
-GA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for CORRINE CELESTE BOLLES (PT, DPT)?
CORRINE CELESTE BOLLES (PT, DPT) — NPI 1245899723 — is the standard way to identify this listing.
Is CORRINE CELESTE BOLLES (PT, DPT) listed as active for patients and plans?
The listing shows CORRINE CELESTE BOLLES (PT, DPT) as active in the NPI system.
What is CORRINE CELESTE BOLLES (PT, DPT)'s specialty?
The listing groups CORRINE CELESTE BOLLES (PT, DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect CORRINE CELESTE BOLLES (PT, DPT) on a map?
Expect Lithonia, Georgia as a primary anchor for CORRINE CELESTE BOLLES (PT, DPT) unless the record lists multiple sites.
Why does CORRINE CELESTE BOLLES (PT, DPT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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