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

Mr. Constantine P Bolos, PT

Individual provider Physical Therapist · NPI 1184788663

Mr. Constantine P Bolos, PT is a Physical Therapist in Private Practice in Palatine, Illinois. Qualified in 1999, 27 years ago. Practices with Active Life Physical Therapy Ltd, a 2-clinician group and works from 3 locations. Licensed in Illinois.

Years since qualifying
27
Licensed in
IL
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

711 S Vermont St
Palatine, IL 60067-7138
Phone: (847) 323-7001
Fax: (847) 960-4985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 507 S Vermont St, Palatine, IL 60067-6947 — (847) 323-7001
  • 3300 Kirchoff Rd, Rolling Meadows, IL 60008-1824 — (847) 618-3880

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070011648 (IL)

Record details

NPI number1184788663
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 20, 2006
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Active Life Physical Therapy Ltd — 2 clinicians
Accepts Medicare assignment Not indicated

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