Mikaila E. Boldt, DPT
NPI 1003318338ActiveIndividual· Physical Therapist· Southern Pines, NC
Physical Therapist (DPT) in Southern Pines, North Carolina, licensed in NC, with an NPI issued in March 2018. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1003318338 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Mar 2, 2018 |
| Last updated in NPPES | Feb 14, 2024 |
| Certified by provider | Feb 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | P22022 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CO) |
|---|
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