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LENNY BOLTON RADT I
NPI 1295300051
Rehabilitation Practitioner in San Diego, CA

Active since May 24, 2021
5671 CHURCHWARD ST, SAN DIEGO, CA 92114(619) 915-6452 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2026, Nov 9, 2025, Aug 22, 2024 and 7 more (10 updates tracked since 2021).

About Lenny Bolton Radt I NPPES

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

LENNY BOLTON RADT I (NPI 1295300051) is an individual rehabilitation practitioner in San Diego, California and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1295300051
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameLENNY BOLTONCredential: RADT I
Location Address5671 CHURCHWARD STSan Diego, CA 92114-4010
Mailing Address4526 Illinois St Apt 10cSan Diego, CA 92116-4375 · (217) 778-6786
Phone(619) 915-6452
Sole ProprietorNo
Enumeration DateMay 24, 2021
Last NPPES UpdateMay 8, 202610 updates tracked since enumeration
NPPES CertifiedMay 8, 2026
✔ NPI 1295300051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
Also ListedDay Training/Habilitation SpecialistTaxonomy 373H00000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5671 CHURCHWARD ST, San Diego, CA 92114
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Other Providers at the Same Location NPPES 2

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

CENTER FOR POSITIVE CHANGES
Residential Treatment Facility, Emotionally Disturbed Children
5671 CHURCHWARD ST
SAN DIEGO, CA 92114
San Diego County (619) 915-6452
CHRISTINE DENNIS
Social Worker (Clinical)
5671 CHURCHWARD ST
SAN DIEGO, CA 92114
San Diego County (619) 310-6250

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lenny Bolton's NPI number?

The NPI number for Lenny Bolton is 1295300051. It was assigned to this individual provider in the NPPES registry on May 24, 2021.

Where is Lenny Bolton located?

Lenny Bolton practices at 5671 Churchward St, San Diego, CA 92114. The listed phone number is (619) 915-6452.

What is Lenny Bolton's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Lenny Bolton was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.