KYROLLOS BOULES PT
NPI 1265184303
Physical Therapist in Port Huron, MI
About Kyrollos Boules Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYROLLOS BOULES PT (NPI 1265184303) is an individual physical therapist in Port Huron, Michigan, licensed in Michigan (5501303435) and active in the NPI registry since January 2022. He is a graduate of Rutgers New Jersey Medical School (2015).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kyrollos Boules Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kyrollos Boules reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Port Huron, MI 48060
- Reassigned Medicare billing, Michigan enrollment
- 21 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORT HURON, MI 48060
PORT HURON, MI 48060
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kyrollos Boules's NPI number?
The NPI number for Kyrollos Boules is 1265184303. It was assigned to this individual provider in the NPPES registry on January 20, 2022.
Where is Kyrollos Boules located?
Kyrollos Boules practices at 940 River Centre Dr, Port Huron, MI 48060. The listed phone number is (810) 985-4900.
What is Kyrollos Boules's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Kyrollos Boules enrolled in Medicare?
Yes. Kyrollos Boules is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kyrollos Boules's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyrollos Boules reassigns Medicare benefits to Orthopedic Associates Of Port Huron PC (Port Huron, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyrollos Boules's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kyrollos Boules accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Kyrollos Boules as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kyrollos Boules was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.