Zane Boles, PT, DPT
Individual provider Active NPI Physical Therapist · Flint, TX
NPI 1124842638 · NPPES record last updated Nov 12, 2024
Key facts
- NPI
- 1124842638
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1348491 (TX)
- Practice address
- 112 Maggie Cir
Flint, TX 75762-9464 - Phone
- (903) 722-5001
- NPI assigned
- Nov 12, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1348491 | TX | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1348491 | TX | Yes |
Addresses
Primary practice location
112 Maggie Cir
Flint, TX 75762-9464
Mailing address
112 Maggie Cir
Flint, TX 75762-9464
Other providers in Flint, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.