Nicholas Scott Dolezal, PT, DPT
NPI 1003587270ActiveIndividual· Physical Therapist· Bullhead City, AZ
Physical Therapist (PT, DPT) with Cortlyn Therapy PC and 1 other group, practicing in Bullhead City, Arizona. Medicare paid $15,435 for services to 25 patients in 2024.
Overview
| NPI | 1003587270 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Sep 27, 2021 |
| Last updated in NPPES | Sep 27, 2021 |
| Certified by provider | Sep 27, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | LPT-32019 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (IA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 25 |
|---|---|
| Services billed | 787 across 7 procedure codes |
| Paid by Medicare | $15,435 |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Cortlyn Therapy PCValley Park, MO · 142 clinicians
- Humpal Chiropractic, LLCNorth Liberty, IA · 4 clinicians
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