Bert Bovard Boldt II, BS PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0829 Issued in FL

Practice address

1 Eagles Way Unit 333
Carrabelle, FL 32322-8020

Phone

(850) 519-4966

Fax

(850) 597-9122

NPI assigned

Jan 1, 2007

Last updated

Jul 23, 2026By 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Tallahassee Physical Therapy and Rehabilitation Services LLC

  • Physical Therapist
  • Tallahassee, FL
  • NPI 1356469514
  Authorized official Same address or phone

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1326105495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EAGLES WAY UNIT 333",
            "city": "CARRABELLE",
            "state": "FL",
            "postal_code": "323228020",
            "telephone_number": "850-519-4966",
            "fax_number": "850-597-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EAGLES WAY UNIT 333",
            "city": "CARRABELLE",
            "state": "FL",
            "postal_code": "323228020",
            "telephone_number": "850-519-4966",
            "fax_number": "850-597-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDT",
        "first_name": "BERT",
        "middle_name": "BOVARD",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "BS  PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-01",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "0829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "000829",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "880624100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ahi Holdings, LLC (St. James Health and Rehabilitation Center)
• Arabella of Carrabelle Opco LLC (Arabella Health & Wellness of Carrabelle)
• Bayline Medical Center Inc
• Carrabelle Medical Pharmacy
• Lionel B Catlin, MD
• Elizabeth Crossley
• Jonathan Edwin Fountain, MD
• Franklin Canyon Healthcare, Inc. (Carrabelle Post-Acute and Rehabilitation)

• Physical Therapist in Carrabelle, FL
• Providers in Carrabelle, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.