TRISTAN BOALDIN (DPT) – Physical Therapist, NPI 1275503757

TRISTAN BOALDIN (DPT) is a healthcare provider. based in Cedar falls, Iowa. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 03757 (IA). The NPI Number for TRISTAN BOALDIN (DPT) is 1275503757

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
TRISTAN BOALDIN (DPT)
NPI
1275503757
Phone
(319) 222-2901
Address
5100 PRAIRIE PKWY
Enumeration Date
25 January 2006
Last Update Date
5 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3192222901
Graduation Year
2004 (22 years ago)
PAC ID
7810934031
Group Practice PAC ID
8729992318
Professional Enrollment ID
I20050409000069
Address ID
IA506138155CE5100XPKWY304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,303 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IA

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Provider Addresses for TRISTAN BOALDIN (DPT)

  • Prairie Parkway, Cedar Falls, Black Hawk County, Iowa, 52613, United States

    SUITE 104

    CEDAR FALLS, IA 506138155

    Phone: (319) 222-2901

    Fax: (319) 222-2991

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-04-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050409000069IPhysical Therapist In Private PracticeIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes38617$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes19516$0
97162Evaluation for physical therapy, typically 30 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 50613)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729992318View full group profile

Reviews

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Frequently asked questions

Is TRISTAN BOALDIN (DPT) listed with a National Provider Identifier?
Yes — TRISTAN BOALDIN (DPT) has NPI 1275503757 on file in the registry.
Is TRISTAN BOALDIN (DPT) still an active registrant?
TRISTAN BOALDIN (DPT) carries an active NPI according to the public dataset.
What expertise is attributed to TRISTAN BOALDIN (DPT)?
TRISTAN BOALDIN (DPT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with TRISTAN BOALDIN (DPT)?
Directory geography for TRISTAN BOALDIN (DPT) centers on Cedar Falls, Iowa.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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