TYLER CRAIG BOULTER DPT
NPI 1427567577
Physical Therapist in Saratoga Springs, UT

Active since September 20, 2017Accepts Medicare Assignment
18 W SERGEANT COURT DR STE 101, SARATOGA SPRINGS, UT 84045(801) 766-0103(801) 766-0136 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 12, 2022, Sep 20, 2017 (2 updates tracked since 2017).

About Tyler Craig Boulter Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER CRAIG BOULTER DPT (NPI 1427567577) is an individual physical therapist in Saratoga Springs, Utah and active in the NPI registry since September 2017. He is a graduate of Other (2017).

NPPES Registry Identity

NPI1427567577
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameTYLER CRAIG BOULTERCredential: DPT
Location Address18 W SERGEANT COURT DR STE 101Saratoga Springs, UT 84045-5805
Mailing Address18 W Sergeant Court Dr Ste 101Saratoga Springs, UT 84045-5805 · (801) 766-0103 · Fax (801) 766-0136
Fax(801) 766-0136
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 20, 2017
Last NPPES UpdateJanuary 12, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2022
✔ NPI 1427567577 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
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.
18 W SERGEANT COURT DR STE 101, Saratoga Springs, UT 84045

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

Tyler Craig Boulter Dpt 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 ID6901164094
PECOS Enrollment IDI20201005001737

Medicare Billing Reassignment

Medicare enrollment records show Tyler Boulter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
18 W. SERGEANT CT. DR., STE 101
Saratoga Springs, UT 84045
  • Reassigned Medicare billing, Utah enrollment
  • 2 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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
276 services17 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
175 services17 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
101 services12 patients
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
82 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84045 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

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 Tyler Boulter's NPI number?

The NPI number for Tyler Boulter is 1427567577. It was assigned to this individual provider in the NPPES registry on September 20, 2017.

Where is Tyler Boulter located?

Tyler Boulter practices at 18 W Sergeant Court Dr Ste 101, Saratoga Springs, UT 84045. The listed phone number is (801) 766-0103.

What is Tyler Boulter's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Tyler Boulter enrolled in Medicare?

Yes. Tyler Boulter 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 Tyler Boulter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Boulter reassigns Medicare benefits to Task Rehab Services LLC (Saratoga Springs, UT). 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 Tyler Boulter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyler Boulter accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Tyler Boulter 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 Tyler Boulter was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.