Richard Eric Bolander, OTR/L

Primary specialty

ContractorTaxonomy code 171W00000X

License

OT 14359 Issued in FL

Practice address

501 NW Cashmere Blvd
Port St Lucie, FL 34986-1908

Phone

(772) 204-9822

NPI assigned

Dec 27, 2011

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1457620171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11987 SW KNIGHTSBRIDGE LN",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872729",
            "telephone_number": "651-230-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 NW CASHMERE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861908",
            "telephone_number": "772-204-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLANDER",
        "first_name": "RICHARD",
        "middle_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-27",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": "OT 14359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol E. Boettcher, ARNP
• Samantha R Bogle, DMD
• Jennifer Kathleen Bogus
• Gordon George Bohl, LCSW
• Hedwige Bois-Saintil
• Ulecia Boldin, PHARM D
• Dawna Lee Bone, PSY.D.
• Jeffrey Soon Bong, D.O.
• Maria Sol Bonilla
• Dennise Bonnie

• Contractor in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.