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Active NPI 1033416631 Individual Practitioner Male Practitioner

Marc Boults

Physical Therapist • Brandon, FL

Professional Overview & Biography Verified Profile Summary

Marc Boults is a registered healthcare professional specializing in Physical Therapist in Brandon, FL. Practice services are available at 602 VONDERBURG DR under active NPI credentials.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure using functional activities, therapy procedure using manual technique, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

602 Vonderburg Dr
Suite 201

Brandon, FL 335115900

Telephone 8636179400
Fax 8636889858
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Brandon, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.9 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
125 Specialists

Practicing in Brandon, FL (14601 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
49.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
777 50 $50.00 $24.44
97530 Therapy procedure using functional activities
498 44 $55.00 $34.99
97140 Therapy procedure using manual technique, each 15 minutes
406 34 $50.00 $21.70
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
208 30 $50.00 $30.37
97116 Walking training to 1 or more areas, each 15 minutes
166 20 $50.00 $23.52
97161 Evaluation of physical therapy, typically 20 minutes
47 44 $120.00 $83.82
97164 Re-evaluation for physical therapy, typically 20 minutes
13 13 $175.00 $56.74

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License FL PT 26221

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Claudio Sandoval , PT

Physical Therapy Assistant

NPI 1053083709

Physical Therapist

Odeeline Soriano , PT

Physical Therapist

NPI 1073022083

Physical Therapist

Shannon Jones , PTA

Physical Therapy Assistant

NPI 1134017445

Physical Therapist Assistant

Dina Traficante , MPT

Physical Therapist

NPI 1144252651

Master of Physical Therapy

Marco Poblete , PT

Physical Therapist

NPI 1164166526

Physical Therapist

John Barber

Physical Therapy Assistant

NPI 1174922900

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 17, 2014

Registered at 602 VONDERBURG DR, SUITE 201, BRANDON, FL 335115900 (Tel: 8636179400)

📍
Updated Business Mailing Address April 17, 2014

Registered at 602 VONDERBURG DR, SUITE 201, BRANDON, FL 335115900 (Tel: 8636179400)

👤
Provider Name / Credentials Updated April 17, 2014

Recorded as MARC BOULTS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2014

Physical Therapist (License #PT 26221 in FL)

🟢
Initial NPI Registration & Enumeration February 16, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033416631
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 16, 2011
Last Update: April 17, 2014
Sole Proprietor: No

Mailing Address

602 Vonderburg Dr, Suite 201

Brandon, FL 335115900

Phone: 8636179400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.