Jack Wesley Boling Jr., DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

23441 Issued in MD

Practice address

3200 Tower Oaks Blvd
Suite 450
Rockville, MD 20852-4216

Phone

(301) 881-4610

NPI assigned

Sep 30, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285804800000",
    "number": "1093024630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 HALPINE RD",
            "address_2": "APT #1337",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521661",
            "telephone_number": "904-334-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 TOWER OAKS BLVD",
            "address_2": "SUITE 450",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524216",
            "telephone_number": "301-881-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLING",
        "first_name": "JACK",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23441",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "25803",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Bolden
• Unique Bolden
• Diane Bolds
• Adrian Boler-Bonny
• Susie Bolick
• Ryan Bolotte, MD
• Rebecca Ann Bonco, LPC
• Gabrielle Bond
• Jessica Bond
• Kamare Bond

• Physical Therapist in Rockville, MD
• Providers in Rockville, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.