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

Zachary Joachim Bolster, PT, DPT, ATC

Individual provider Physical Therapist · NPI 1124686282

Zachary Joachim Bolster, PT, DPT, ATC is a Physical Therapist in Private Practice in Vacaville, California. Qualified in 2019, 7 years ago. Practices with Sutter Valley Medical Foundation, a 2,464-clinician group and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
7
Licensed in
NH
In the registry since
2019
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.

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Practice location Address checks out

770 Mason St
Vacaville, CA 95688-4646
Phone: (707) 454-6990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 4524 (NH)

Record details

NPI number1124686282
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , ATC
Sole proprietorNo
NPI enumeratedJune 4, 2019
Last updated in NPPESNovember 11, 2021
Certification dateNovember 11, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Sutter Valley Medical Foundation — 2464 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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