KYROLLOS BOULES PT
NPI 1265184303
Physical Therapist in Port Huron, MI

Active since January 20, 2022Accepts Medicare Assignment
940 RIVER CENTRE DR, PORT HURON, MI 48060(810) 985-4900(810) 985-3634 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2025, Sep 5, 2025, Jan 20, 2022 (3 updates tracked since 2022).

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

NPI1265184303
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameKYROLLOS BOULESCredential: PT
Location Address940 RIVER CENTRE DRPort Huron, MI 48060-4463
Mailing Address940 River Centre DrPort Huron, MI 48060-4463 · (810) 985-4900 · Fax (810) 985-3634
Fax(810) 985-3634
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2015
Enumeration DateJanuary 20, 2022
Last NPPES UpdateDecember 3, 20253 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
NPI 1265184303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in MI · 5501303435
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
940 RIVER CENTRE DR, Port Huron, MI 48060

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID4688068588
PECOS Enrollment IDI20251104000884

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.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Durable Medical Equipment & Medical Supplies
940 RIVER CENTRE DR
PORT HURON, MI 48060
Physician Assistant
940 RIVER CENTRE DR
PORT HURON, MI 48060
Physical Therapist
940 RIVER CENTRE DR
PORT HURON, MI 48060
Radiology (Diagnostic Radiology)
940 RIVER CENTRE DR
PORT HURON, MI 48060
Physical Therapist
940 RIVER CENTRE DR
PORT HURON, MI 48060
Orthopaedic Surgery
940 RIVER CENTRE DR
PORT HURON, MI 48060
Orthopaedic Surgery
940 RIVER CENTRE DR
PORT HURON, MI 48060
Physical Therapist
940 RIVER CENTRE DR
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.

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 8 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.