MRS. GENEVA MICHELLE BOLEN (OTR/L) – Occupational Therapist, NPI 1225270630
Occupational Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
340 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in SC
Provider Addresses for MRS. GENEVA MICHELLE BOLEN (OTR/L)
PO BOX 412313 SUITE 102
BOSTON, MA 022410001
Phone:
Type: Mailing
439 CHANNEL RD STE 102
LAKE WYLIE, SC 297106101
Phone: (803) 746-7800
Type: Location
1 Still Hopes Dr
West Columbia, SC 291697164
Phone: (803) 739-5014
Type: Location
1, Still Hopes Drive, Triangle City, West Columbia, Lexington County, South Carolina, 29169, United States
WEST COLUMBIA, SC 291697164
Phone: (803) 739-5014
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-08-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250808000104 | I | Occupational Therapist In Private Practice | SC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02241)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | NY | |
| Physical Therapist In Private Practice | MA | |
| Occupational Therapist In Private Practice | SC | |
| Physical Therapist In Private Practice | MA | |
| - | SC | |
| Physical Therapist In Private Practice | TN | |
| - | SC | |
| Physical Therapist In Private Practice | NY | |
| Occupational Therapist In Private Practice | NC | |
| Physical Therapist In Private Practice | MA |
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