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Deactivated NPI 1013155332 Deactivated / Inactive NPI Female Practitioner

Carolee Boardman

Physical Therapist • San Antonio, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Carolee Boardman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 23, 2009
NPI Deactivation Date September 25, 2025
Total Practice Duration ~16 Years of Practice (2009 – 2025)

Professional Overview & Biography Verified Profile Summary

Carolee Boardman was a registered Physical Therapist practicing in San Antonio, TX. Throughout an active medical career spanning 16 years, Carolee Boardman provided care at the practice location at 85 NE LOOP 410 STE 610 until profile deactivation on 2025-09-25.

Practice Location & Contact Primary Location

Practice Address

85 Ne Loop 410 Ste 610

San Antonio, TX 782165866

Telephone 4694209500

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in San Antonio, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.6 Yrs
State Avg: 14.8 Yrs
Regional Practice Density
1131 Specialists

Practicing in San Antonio, TX (15382 Statewide)

Telehealth Adoption Rate
0.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License TX 1025914

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

7 Associated Practitioners
Loretta Dorsey

Occupational Therapist

NPI 1003149071
Janet Brown , MA, CCC, SLP

Speech-Language Pathologist

NPI 1063714541

Master of Arts, Certificate of Clinical Competence, Speech-Language Pathologist

Dana Hammonds , COTA, L

Occupational Therapy Assistant

NPI 1467723429

Certified Occupational Therapy Assistant, L

Jo Ann Jensen

Clinic/Center - Physical Therapy

NPI 1548412489
Veronica Bridgeforth , CCC-SLP

Speech-Language Pathologist

NPI 1568719235

Speech-Language Pathologist (Certificate of Clinical Competence)

Deborah Fentress

Speech-Language Pathologist

NPI 1588802730

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated September 25, 2025

Record deactivated on September 25, 2025

NPI Profile Active January 23, 2009

NPI status registered as active in NPPES database

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Updated Practice Location January 23, 2009

Registered at 85 NE LOOP 410 STE 610, SAN ANTONIO, TX 782165866 (Tel: 4694209500)

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Updated Business Mailing Address January 23, 2009

Registered at 85 NE LOOP 410, SUITE 610, SAN ANTONIO, TX 78216

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Provider Name / Credentials Updated January 23, 2009

Recorded as CAROLEE BOARDMAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2009

Physical Therapist (License #1025914 in TX)

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Initial NPI Registration & Enumeration January 23, 2009

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: 1013155332
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2009
Last Update: January 23, 2009
Deactivation Date: September 25, 2025

Mailing Address

85 Ne Loop 410, Suite 610

San Antonio, TX 78216

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.