Trey Boles

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT37711 Issued in FL

Practice address

4575 US Highway 17 Ste 350
Fleming Island, FL 32003-4825

Phone

(904) 637-0148

NPI assigned

Oct 6, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1932659604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 US HIGHWAY 17 STE 350",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034825",
            "telephone_number": "502-525-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 US HIGHWAY 17 STE 350",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034825",
            "telephone_number": "904-637-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLES",
        "first_name": "TREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-06",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT37711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan M Blom, PHARM.D.
• Kathlene Bobbitt
• Ravi Kiran Bodavula, RPH
• Harley Bogley, A.P.
• Carrie Bohannon, PHARMD
• Geraldine P Bowers
• Courtney Boyd, RBT
• Harold Dale Boyd, MD
• Lindsey H. Boyd, CNM ARNP
• Amie Bozeman, APRN, FNP-C

• Physical Therapist in Fleming Island, FL
• Providers in Fleming Island, 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 31, 2023; 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.