Tristan Boaldin, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

03757 Issued in IA

Practice address

5100 Prairie Pkwy
Suite 104
Cedar Falls, IA 50613-8155

Phone

(319) 222-2901

Fax

(319) 222-2991

NPI assigned

Jan 25, 2006

Last updated

Jan 5, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tboaldin109092@direct.unitypoint.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Iowa Physicians Clinic Medical Foundation

  dba UnityPoint Clinic

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274
  Medicare reassignment Care Compare group NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Jet PT PC

  • Physical Therapist
  • Washington, IA
  • NPI 1750440301
  NPD (past)
• Physical Therapy Services PC

  • Physical Therapist
  • Kalona, IA
  • NPI 1073656674
  NPD (past)
• Physical Therapy Services PC

  • Physical Therapist
  • Kalona, IA
  • NPI 1780949701
  NPD (past)
• Rock Valley Physical Therapy Center

  • Physical Therapist
  • Moline, IL
  • NPI 1245373166
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1275503757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 PRAIRIE PKWY",
            "address_2": "SUITE 104",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506138155",
            "telephone_number": "319-222-2901",
            "fax_number": "319-222-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 PRAIRIE PKWY",
            "address_2": "SUITE 104",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506138155",
            "telephone_number": "319-222-2901",
            "fax_number": "319-222-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOALDIN",
        "first_name": "TRISTAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "03757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bijelic Counseling and Consulting Services LLC
• Ljubomirka Bijelic-Appenzeller, TLMHC
• Donald Lee Bishop, MA, ATC, LAT
• Nichelle Catherine Blakesley
• Lauren Paige Block, DC
• Lucas S Boe, DMD
• Robert W Boezinger, LCSW
• Michael Boller
• Derek Richard Bolme, OTR/L
• Tucker Pierre Borel, PHARMD

• Physical Therapist in Cedar Falls, IA
• Providers in Cedar Falls, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.