Mandolyn Harvey-Boling

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

008872 Issued in KY

Practice address

1500 Pride Ave
Madisonville, KY 42431-9157

Phone

(270) 821-1813

NPI assigned

Apr 1, 2025

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mandolyn Harvey Former name

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": "1743465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1992509848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 PRIDE AVE",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424319157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PRIDE AVE",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424319157",
            "telephone_number": "270-821-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY-BOLING",
        "first_name": "MANDOLYN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDOLYN",
            "last_name": "HARVEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lacey Harris
• Mikuel S. Harris
• Peggy L. Harris, APRN
• Sara Harris
• Susan Hart
• Amy Harvey
• Traci Lynn Harwell
• Ava Hatfield-Lomache, APRN
• Douglas J Hatler, M.D.
• Rachel Hayes, BSN, RN, CDCES

• Physical Therapist in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.