Lorrie Ann Bolen, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

C1033 Issued in WV

Practice address

200 Elizabeth St
Charleston, WV 25311-2119

Phone

(304) 348-7740

NPI assigned

Sep 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kanawha County Schools

  • Local Education Agency (LEA)
  • Charleston, WV
  • NPI 1205035334
  NPD (past)
• Kanawha County Schools

  • Local Education Agency (LEA)
  • Charleston, WV
  • NPI 1407026636
  NPD (past)

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487754123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BARBARA AVE",
            "city": "MC DERMOTT",
            "state": "OH",
            "postal_code": "456529046",
            "telephone_number": "740-259-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ELIZABETH ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253112119",
            "telephone_number": "304-348-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLEN",
        "first_name": "LORRIE",
        "middle_name": "ANN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WV",
            "license": "C1033",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA-00775",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Boggs
• Sarah Boggs
• Trisha Boggs, PLC
• Tyanna Boggs
• Tirzah Bogss
• Lorraine Boley, PARAPROFESSIONAL
• Mary Boley
• Lyndsey Nicole Boline
• Boll Medical, Inc
• Ramandeep Kaur Bolla, MD

• Occupational Therapy Assistant in Charleston, WV
• Providers in Charleston, WV by specialty
• Occupational Therapy Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.