MRS. CAROLINE M BOLTON (PHYSICAL THERAPIST) – Physical Therapist, NPI 1104949353

MRS. CAROLINE M BOLTON (PHYSICAL THERAPIST) is a healthcare provider. based in Jackson, Tennessee. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PHYSICAL THERAPIST. They hold a License No. PT0000004486 (TN). The NPI Number for MRS. CAROLINE M BOLTON (PHYSICAL THERAPIST) is 1104949353

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CAROLINE M BOLTON (PHYSICAL THERAPIST)
NPI
1104949353
Phone
(731) 427-7888
Address
569 SKYLINE DR
Enumeration Date
10 April 2007
Last Update Date
27 May 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7314277888
Graduation Year
1994 (32 years ago)
PAC ID
1355350158
Group Practice PAC ID
0840589255
Professional Enrollment ID
I20060405000655
Address ID
TN383052040JA111XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,335 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TN

Provider Addresses for MRS. CAROLINE M BOLTON (PHYSICAL THERAPIST)

  • 569 SKYLINE DR

    SUITE 100

    JACKSON, TN 383013911

    Phone: (731) 427-7888

    Fax: (731) 265-4152

    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: 2006-04-05

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
I20060405000655IPhysical Therapist In Private PracticeTNTBD

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 minutes1,56451$0
97140Therapy procedure using manual technique, each 15 minutes28929$0
97161Evaluation for physical therapy, typically 20 minutes4241$0
View full utilization report →

Insurance plans in this area (ZIP 38301)

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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: 0840589255View full group profile
NameSpecialtyState
Physician AssistantTN
C H I R O P R A C T I CTN
Nurse PractitionerTN
-TENNESSEE
Orthopedic SurgeryAR
Orthopedic SurgeryTN

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Frequently asked questions

How do I look up MRS. CAROLINE M BOLTON (PHYSICAL THERAPIST) by NPI?
Use NPI 1104949353 when you need to reference MRS. CAROLINE M BOLTON (PHYSICAL THERAPIST) in forms, claims, or directories.
Is MRS. CAROLINE M BOLTON (PHYSICAL THERAPIST) active in the national directory?
MRS. CAROLINE M BOLTON (PHYSICAL THERAPIST)'s public NPI profile is in an active state.
What does MRS. CAROLINE M BOLTON (PHYSICAL THERAPIST) treat or focus on?
Patients typically see MRS. CAROLINE M BOLTON (PHYSICAL THERAPIST) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is MRS. CAROLINE M BOLTON (PHYSICAL THERAPIST)'s primary listing?
We display Jackson, Tennessee because that is what the record indicates for MRS. CAROLINE M BOLTON (PHYSICAL THERAPIST).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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