RANDALL E BOLDT (PT) – Physical Therapist, NPI 1043277155

RANDALL E BOLDT (PT) is a healthcare provider. based in Moline, Illinois. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. 02562 (IA). The NPI Number for RANDALL E BOLDT (PT) is 1043277155

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
RANDALL E BOLDT (PT)
NPI
1043277155
Phone
(309) 743-2070
Address
850 43RD AVE STE 100
Enumeration Date
1 May 2006
Last Update Date
23 September 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5633329312
Graduation Year
1994 (32 years ago)
PAC ID
1557270840
Group Practice PAC ID
9638087877
Professional Enrollment ID
I20061025000368
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for RANDALL E BOLDT (PT)

  • 43rd Avenue, Moline, Rock Island County, Illinois, 61265, United States

    MOLINE, IL 612658401

    Phone: (309) 743-2070

    Fax: (309) 743-2073

    Type: Mailing

  • West 35th Street, Sunny Mede, Davenport, Scott County, Iowa, 52806, United States

    DAVENPORT, IA 528065827

    Phone: (563) 324-2263

    Fax: (563) 324-0719

    Type: Location

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61265)

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Provider's Procedures

RANDALL E BOLDT (PT) performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYIA97001Physical therapy evaluation1211
PHYSICAL THERAPYIA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes12711

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: 9638087877View full group profile
NameSpecialtyState
MS. GRETCHEN RENAE SCHROER (DPT)
-IA
VON GLASER (DPT)
Physical Therapist In Private PracticeIL
KRIS MARCKS
Physical Therapist In Private PracticeIL
LAUREN GETZ (PT)
Physical Therapist In Private PracticeIL
CORY D NIELSON (DPT)
-IL
JENNA M BUSH (DPT)
Physical Therapist In Private PracticeIL
EMILEY BRAND (DPT)
Physical Therapist In Private PracticeIA
NATHAN C ACKERT
Physical Therapist In Private PracticeIL
ASHLEY M SCHURR (DPT)
Physical Therapist In Private PracticeIA
PAUL ROBERT PELLETT (DPT)
-IA

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Frequently asked questions

What identifier follows RANDALL E BOLDT (PT) across health systems?
The NPI 1043277155 uniquely identifies RANDALL E BOLDT (PT) in U.S. healthcare data.
Does the public listing show RANDALL E BOLDT (PT) as active?
RANDALL E BOLDT (PT)'s NPI record reflects an active status in NPPES.
What services align with RANDALL E BOLDT (PT)'s listing?
RANDALL E BOLDT (PT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Can patients visit RANDALL E BOLDT (PT) in Moline, Illinois?
For routing, start with Moline, Illinois for RANDALL E BOLDT (PT), then verify phone and hours locally.
Who maintains RANDALL E BOLDT (PT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.