Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Bollacker, PTA

Individual provider Physical Therapy Assistant · NPI 1164006763

Charles Bollacker, PTA is a Physical Therapy Assistant in Hagerstown, Maryland. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

11110 Medical Campus Rd Ste 101
Hagerstown, MD 21742-6711
Phone: (301) 665-4970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1164006763
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 10, 2021
Last updated in NPPESMay 10, 2021
Certification dateMay 10, 2021
Mailing address1635 Needy Rd, Martinsburg, WV 25405-6200

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