Active NPI
Lyndsay Bolen
- Occupational Therapist
- Birmingham, AL
National Provider Identifier
1467220350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5508
- Practice address
- 3605 Ratliff Rd
Birmingham, AL 35210-4512 - Phone
- (205) 956-2184
- NPI assigned
- Dec 19, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5508 | AL | Primary |
Addresses
Primary practice location
3605 Ratliff Rd
Birmingham, AL 35210-4512
Mailing address
2047 Belvedere CV
Birmingham, AL 35242-6637
Phone (205) 913-0617
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5508 | AL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1467220350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2047 BELVEDERE CV",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352426637",
"telephone_number": "205-913-0617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 RATLIFF RD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352104512",
"telephone_number": "205-956-2184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLEN",
"first_name": "LYNDSAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-19",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "5508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.