Active NPI
Whitney Boulden, DPT
- Physical Therapist
- Carlisle, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004299
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 004299 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Iowa Orthopaedic Center, P.C. | Current | Accepting new patients | |
| Iowa Orthopaedic Center, P.C. | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Des Moines, IA
- NPI 1669579785
-
- Orthopaedic Surgery Physician
- Johnston, IA
- NPI 1326637521
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.