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Active NPI 1407384209 Individual Practitioner Male Practitioner

Dr. Farid Boualam , PT, DPT, CSCS

Physical Therapist • Draper, UT

Professional Overview & Biography Verified Profile Summary

Dr. Farid Boualam, PT, DPT, CSCS is a registered healthcare professional specializing in Physical Therapist in Draper, UT. Practice services are available at 65 E WADSWORTH PARK DR STE 230 under active NPI credentials.

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

Practice Location & Contact Primary Location

Practice Address

65 E Wadsworth Park Dr Ste 230

Draper, UT 840208096

Telephone 3853088034
Associated Practice Facility / Clinic
🏢 Sword Health Inc Facility NPI 1568921278

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Draper, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.6 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
147 Specialists

Practicing in Draper, UT (2685 Statewide)

Telehealth Adoption Rate
2.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.7% 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 (2022)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97530 Therapy procedure using functional activities
576 41 $70.00 $30.95
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
209 34 $60.00 $25.86
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
162 33 $70.00 $23.01
97140 Therapy procedure using manual technique, each 15 minutes
90 16 $60.00 $22.16
97164 Re-evaluation for physical therapy, typically 20 minutes
27 17 $150.00 $72.46
97161 Evaluation of physical therapy, typically 20 minutes
15 15 $250.00 $104.81

Medical Specialties & State Licenses

CMS Verified: 2023-05-30
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License MD 26485

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.

Physical Therapist

NUCC Taxonomy Code: 225100000X

State License VT 040.0134584

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
Thomas Tardif , PT

Physical Therapist

NPI 1003208224

Physical Therapist

Dr. Mary Vandeven , DPT

Physical Therapist

NPI 1003343260

Doctor of Physical Therapy

Dr. Jana Whitt , DPT

Physical Therapist

NPI 1013344480

Doctor of Physical Therapy

Dr. Madison Sloss , DPT

Physical Therapist - Orthopedic

NPI 1013627397

Doctor of Physical Therapy

Dr. Jordan Mansfield , DPT

Physical Therapist

NPI 1023483526

Doctor of Physical Therapy

Justin Guillot

Physical Therapist - Orthopedic

NPI 1023509098

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location May 30, 2023

Registered at 65 E WADSWORTH PARK DR STE 230, DRAPER, UT 840208096 (Tel: 3853088034)

📍
Updated Business Mailing Address May 30, 2023

Registered at 65 E WADSWORTH PARK DR STE 230, DRAPER, UT 840208096 (Tel: 3853088034)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2023

Physical Therapist (License #040.0134584 in VT)

NPI Profile Active May 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 24, 2017

Registered at 5530 WISCONSIN AVE STE 960, CHEVY CHASE, MD 208154315 (Tel: 8555461662)

📍
Updated Business Mailing Address May 24, 2017

Registered at 14923 PERRYWOOD DR, BURTONSVILLE, MD 208661844

👤
Provider Name / Credentials Updated May 24, 2017

Recorded as FARID BOUALAM, PT, DPT, CSCS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2017

Physical Therapist (License #26485 in MD)

🟢
Initial NPI Registration & Enumeration May 24, 2017

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: 1407384209
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2017
Last Update: May 30, 2023
Sole Proprietor: Yes

Mailing Address

65 E Wadsworth Park Dr Ste 230

Draper, UT 840208096

Phone: 3853088034

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.