Michael Raymond Boulter, DPT | |
311 Thelma Dr, Casper, WY 82609-2325 | |
(307) 234-2662 | |
(307) 234-8810 |
Full Name | Michael Raymond Boulter |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 15 Years |
Location | 311 Thelma Dr, Casper, Wyoming |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265663587 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-1283 (Wyoming) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Big Country Rehabilitation Llc | 0648253666 | 16 |
North Platte Physical Therapy Services Inc | 8921080565 | 25 |
Provider Name | North Platte Physical Therapy Services Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093914111 PECOS PAC ID: 8921080565 Enrollment ID: O20040607000307 |
Provider Name | Big Country Rehabilitation Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366493264 PECOS PAC ID: 0648253666 Enrollment ID: O20040610001233 |
Provider Name | Bear Lodge Rehabilitation Services, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1558690099 PECOS PAC ID: 7911041199 Enrollment ID: O20100225000900 |
Mailing Address | Practice Location Address |
---|---|
Michael Raymond Boulter, DPT Po Box 1790, Douglas, WY 82633-1790 Ph: (307) 358-9464 | Michael Raymond Boulter, DPT 311 Thelma Dr, Casper, WY 82609-2325 Ph: (307) 234-2662 |
Dr. Eva Cheros, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4140 Centennial Hills Blvd Ste B, Casper, WY 82609 Phone: 307-265-7205 | |
Joshua J Woods, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 441 Landmark Dr, Suite 230, Casper, WY 82609 Phone: 307-337-3200 Fax: 307-448-3046 | |
Lyla Joy Mcdonald, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 300 Landmark Dr Ste B, Casper, WY 82609 Phone: 307-472-3327 | |
Mark S Daugherity, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 E 2nd St, Suite 14, Casper, WY 82601 Phone: 307-337-1624 | |
Leanne E Parks, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4140 Centennial Hills Blvd Ste A, Casper, WY 82609 Phone: 307-265-7205 Fax: 307-235-6262 | |
Sara Jean Stier, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2121 E 2nd St Ste 100, Casper, WY 82609 Phone: 307-333-2943 | |
Daniel Arnold, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2665 E 2nd St, Casper, WY 82609 Phone: 972-213-8914 |