Active NPI
Misty Dawn Boyles, P.T.
- Physical Therapist
- Colorado Springs, CO
National Provider Identifier
1568406841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6017
- Practice address
- 1604 Stella Dr
Colorado Springs, CO 80921-2170 - Phone
- (719) 488-1324
- Fax
- (719) 487-8415
- NPI assigned
- Jun 16, 2006
- Last updated
- Jul 13, 2026
- 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 | 6017 | CO | Primary |
Addresses
Primary practice location
1604 Stella Dr
Colorado Springs, CO 80921-2170
Mailing address
1604 Stella Dr
Colorado Springs, CO 80921-2170
Phone (719) 488-1324
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37701541 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6017 | CO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1568406841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 STELLA DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809212170",
"telephone_number": "719-488-1324",
"fax_number": "719-487-8415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 STELLA DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809212170",
"telephone_number": "719-488-1324",
"fax_number": "719-487-8415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYLES",
"first_name": "MISTY",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "6017",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "37701541",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.