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

Mr. Jerry Bologna, PT

Individual provider Physical Therapist · NPI 1689918112

Mr. Jerry Bologna, PT is a Physical Therapist in Culver City, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
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

10664 Saint James Dr
Culver City, CA 90230-5461
Phone: (310) 838-2778
Fax: (310) 838-9647
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Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 24261 (CA)

Record details

NPI number1689918112
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedNovember 21, 2012
Last updated in NPPESNovember 21, 2012

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