Kyrollos Boules, PT
NPI 1265184303ActiveIndividual· Physical Therapist· Port Huron, MI
Physical Therapist (PT) in Port Huron, Michigan, trained at Rutgers New Jersey Medical School (class of 2015). Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1265184303 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Jan 20, 2022 |
| Last updated in NPPES | Dec 3, 2025 |
| Certified by provider | Dec 3, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 5501303435 | MI |
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 (MI) |
|---|
Education and affiliations
| Medical school | Rutgers New Jersey Medical School |
|---|---|
| Graduation year | 2015 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Orthopedic Associates of Port Huron PCPort Huron, MI · 22 clinicians
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