Brendan Raymond Bolduc, PT, DPT, CSCS
NPI 1811664899ActiveIndividual· Physical Therapist· Montvale, NJ
Physical Therapist (PT, DPT, CSCS) in Montvale, New Jersey, licensed in NJ, with an NPI issued in August 2021. Medicare paid $16,652 for services to 46 patients in 2024.
Overview
| NPI | 1811664899 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT, CSCS |
| Sole proprietor | Yes |
| NPI issued | Aug 26, 2021 |
| Last updated in NPPES | Aug 26, 2021 |
| Certified by provider | Aug 26, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 40QA02024200 | NJ |
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 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 46 |
|---|---|
| Services billed | 949 across 11 procedure codes |
| Paid by Medicare | $16,652 |
Other Physical Therapist providers in Montvale
- 1568849925
- 1598327256
- 1265064513
- 1609980051
- 1760837264
- 1801134804
- 1154743763
- 1215763651
- 1891403549
- 1366675944
- 1881581478
- 1770037780