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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Charles Holloway Boardman IV, OTR

Occupational Therapist in Lake City, FL · enumerated 2005 · practices at Gainesville Vamc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164417895

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Registry record

Entity type Individual (Type 1)
Name Mr. Charles Holloway Boardman IV
Credential OTR
Sex Male
Practice address 619 South Marion Ave, North Florida / South Georgia Veterans Health System, Lake City, FL, 32025
Phone (386) 755-3016
Enumeration date Sep 19, 2005
Last updated in NPPES Feb 25, 2012

Taxonomy & licenses

225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License OT14416FL (FL) Primary

Other identifiers

Identifier Type State Issuer
OT14416FL Other FL FLORIDA DEPARTMENT OF HEALTH
AA499343 Other - NBCOT

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1164417895 active?
Yes, as of the latest NPPES snapshot, NPI 1164417895 is active (record last updated 2012-02-25).
How do I verify Charles Boardman's NPI record?
Cross-check NPI 1164417895 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-02-25.