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

Miss. Justine Barye Bolton, PT, DPT, ATC, LAT

Individual provider Athletic Trainer · NPI 1174002364

Miss. Justine Barye Bolton, PT, DPT, ATC, LAT is a Physical Therapist in Private Practice in Independence, Missouri. Qualified in 2018, 8 years ago. Practices with Fox Rehabilitation Services PT Mo LLC, a 32-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
8
Licensed in
MO
In the registry since
2018
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

See every abbreviation used in this directory →

Practice location Address checks out

2301 S 291 Hwy
Independence, MO 64057
Phone: (816) 373-9328
Fax: (816) 373-9207
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2018028574 (MO)
Athletic Trainer Taxonomy 2255A2300X · Licence 2015028356 (MO)

Record details

NPI number1174002364
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT , ATC , LAT
Sole proprietorNo
NPI enumeratedAugust 9, 2018
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Fox Rehabilitation Services Pt Mo Llc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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