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Mr. Jack Aaron Bolen, COTA

Occupational Therapy Assistant in Radford, VA · enumerated 2010.

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

National Provider Identifier

1780907402

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Registry record

Entity type Individual (Type 1)
Name Mr. Jack Aaron Bolen
Credential COTA
Sex Male
Practice address 700 Randolph St, Radford, VA, 24141
Phone (540) 633-6533
Enumeration date Mar 9, 2010
Last updated in NPPES Mar 9, 2010

Taxonomy & licenses

224Z00000X Occupational Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 0131000124 (VA) Primary

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

What is the NPI number for Jack Bolen?
The National Provider Identifier (NPI) for Jack Bolen is 1780907402, a Type 1 (individual) record in the CMS NPPES registry.
Where does Jack Bolen practice?
The practice location on file with NPPES is in Radford, VA. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-03-09.