MICHAEL JAMES JR. BOULLY (P.T.) – Physical Therapist, NPI 1134249592

MICHAEL JAMES JR. BOULLY (P.T.) is a healthcare provider. based in Dover, Florida. specializing in Physical Therapist. They hold the professional credentials P.T.. They hold a License No. PT18461 (FL). The NPI Number for MICHAEL JAMES JR. BOULLY (P.T.) is 1134249592

Main info

Male
Name
MICHAEL JAMES JR. BOULLY (P.T.)
NPI
1134249592
Phone
(813) 759-8761
Address
6021 ROLLING VISTA LOOP
Enumeration Date
30 March 2007
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MICHAEL JAMES JR. BOULLY (P.T.)

  • 6021 ROLLING VISTA LOOP

    DOVER, FL 335274268

    Phone: (813) 759-8761

    Type: Mailing

  • 1513 SUN CITY CENTER PLZ

    SUN CITY CENTER, FL 335735390

    Phone: (813) 634-6022

    Fax: (813) 634-6053

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33527)

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Frequently asked questions

What is the standard ID for MICHAEL JAMES JR. BOULLY (P.T.) in the U.S.?
In the U.S., MICHAEL JAMES JR. BOULLY (P.T.) is identified by NPI 1134249592.
Quick check: is MICHAEL JAMES JR. BOULLY (P.T.) active?
Public NPPES data shows MICHAEL JAMES JR. BOULLY (P.T.) with an active NPI status right now.
Which specialty label fits MICHAEL JAMES JR. BOULLY (P.T.)?
NPPES ties MICHAEL JAMES JR. BOULLY (P.T.) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MICHAEL JAMES JR. BOULLY (P.T.)?
MICHAEL JAMES JR. BOULLY (P.T.) is associated with Dover, Florida in the same public data insurers reference.
Who maintains MICHAEL JAMES JR. BOULLY (P.T.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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