Reva A Bottles

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW144318 Issued in PA

Practice address

524 N Providence Rd
Media, PA 19063-3056

Phone

(917) 557-0101

NPI assigned

Jul 9, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1376434365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 N PROVIDENCE RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633056",
            "telephone_number": "917-557-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 N PROVIDENCE RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633056",
            "telephone_number": "917-557-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTLES",
        "first_name": "REVA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-09",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW144318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan T Boland, P.T.
• Andreas Bollmann, MD
• Hugh Bonner, M.D.
• Michele Lee Boornazian, DO
• Boscovs Department Store LLC (Boscov's Optical)
• Kristi Lynn Boucher, LPC
• Todd Alexander Bowser, MA
• Cynthia D Boyd, MSW
• Kenneth J Boyd, M.D.
• Laura Ann Boyer, LCSW

• Social Worker in Media, PA
• Providers in Media, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.