Individual provider Active NPI

Whitney Boulden, DPT

  • Physical Therapist
  • Carlisle, IA
National Provider Identifier
1457598252
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004299 Issued in IA
Practice address
840 School St Ste a
Carlisle, IA 50047-9781
Phone
(515) 505-3205
NPI assigned
Jan 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 004299 IA Primary

Addresses

Primary practice location

840 School St Ste a
Carlisle, IA 50047-9781

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925

Other practice location 1

7011 Douglas Ave
Urbandale, IA 50322-3223
Phone (515) 251-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090318000020 IA Practitioner - Physical Therapist in Private Practice 8426115577 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Orthopaedic Center PCGroup PAC ID 5597679159, 69 clinicians
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

450 Laurel St
Suite a
Des Moines, IA 50314-3045
Phone (515) 247-8400

840 School St
Carlisle, IA 50047-9780
Phone (515) 505-3205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004299IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Jan 8, 2025 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Jan 8, 2025 Accepting new patients
Iowa Orthopaedic Center, P.C. CurrentSince Nov 11, 2025 Accepting new patients
Iowa Orthopaedic Center, P.C. CurrentSince Nov 11, 2025 Accepting new patients

Locations

710 E 1st St
Ste A
Ankeny, IA 50021

3252 Ridge Pt
Bettendorf, IA 52722
Phone (563) 332-4995

840 School St
Ste A
Carlisle, IA 50047
Phone (515) 505-3205

3720 Queen Ct SW
Ste 1
Cedar Rapids, IA 52404
Phone (319) 364-0300

450 Laurel St
Ste C
Des Moines, IA 50314
Phone (515) 247-9590

450 Laurel St
Ste A
Des Moines, IA 50314
Phone 5152478400321

2918 E University Ave
Des Moines, IA 50317
Phone (515) 265-8272

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

Interoperability endpoints

  • Direct secure messaging: whitney.boulden.p1@direct.iowaortho.nextgenshare.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1457598252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "fax_number": "312-640-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 SCHOOL ST STE A",
            "city": "CARLISLE",
            "state": "IA",
            "postal_code": "500479781",
            "telephone_number": "515-505-3205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7011 Douglas Ave",
            "address_purpose": "LOCATION",
            "city": "Urbandale",
            "state": "IA",
            "postal_code": "503223223",
            "country_code": "US",
            "telephone_number": "515-251-3700",
            "fax_number": "515-251-3733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOULDEN",
        "first_name": "WHITNEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-15",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.