MR. TIMOTHY J BOLEN PT
NPI 1104191899
Specialist in Newton, KS

Q: What is Timothy Bolen's NPI number?

The NPI number for Timothy Bolen is 1104191899. It was assigned to this individual provider in the NPPES registry on March 14, 2012. The provider is also known as Mr. Tim Bolen Pt.

Q: What is Timothy Bolen's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Bolen was last updated on March 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 14, 2012

2311 S KANSAS RD, NEWTON, KS 67114(316) 283-7187(316) 283-7189 Get Directions Write a Review

NPPES record last updated: March 14, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Timothy J Bolen Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TIMOTHY J BOLEN PT (NPI 1104191899) is an individual specialist in Newton, Kansas, licensed in Kansas (11-01593) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1104191899

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameMR. TIMOTHY J BOLENCredential: PT

Location Address2311 S KANSAS RDNewton, KS 67114-9032

Mailing Address2311 S Kansas RdNewton, KS 67114-9032 · (316) 283-7187 · Fax (316) 283-7189

Phone(316) 283-7187

Fax(316) 283-7189

Sole ProprietorYes

Enumeration DateMarch 14, 2012

✔ NPI 1104191899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in KS · 11-01593

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2311 S KANSAS RD, Newton, KS 67114

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Other Names 1

Other Name (5)Mr. Tim Bolen Pt

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. SCOTT BRADLEY FIESER P.T., CSCS

Physical Therapist