Marilyn Katherin Bouldin, PTA
NPI 1548658735ActiveIndividual· Physical Therapy Assistant· Cameron, MO
Physical Therapy Assistant (PTA) in Cameron, Missouri, licensed in MO and KS, with an NPI issued in December 2014.
Overview
| NPI | 1548658735 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PTA |
| Sole proprietor | Yes |
| NPI issued | Dec 23, 2014 |
| Last updated in NPPES | Dec 23, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 2013025656 | MO |
| Physical Therapy Assistant | 225200000X | 14-02553 | KS |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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