THEODORE BOYLE DPT
NPI 1558024588
Physical Therapist in Central Square, NY

Active since October 17, 2021Accepts Medicare Assignment
124 US ROUTE 11, CENTRAL SQUARE, NY 13036(315) 668-0123 Get Directions Write a Review

NPPES record last updated: October 17, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Theodore Boyle Dpt NPPES

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

THEODORE BOYLE DPT (NPI 1558024588) is an individual physical therapist in Central Square, New York, licensed in New York (047833) and active in the NPI registry since October 2021. He is a graduate of Other (2021).

NPPES Registry Identity

NPI1558024588
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameTHEODORE BOYLECredential: DPT
Location Address124 US ROUTE 11Central Square, NY 13036-9760
Mailing Address4906 Fayetteville Manlius RdManlius, NY 13104-1028 · (315) 706-2894
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 17, 2021
NPPES CertifiedOctober 17, 2021
✔ NPI 1558024588 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 NY · 047833
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.
124 US ROUTE 11, Central Square, NY 13036

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

Theodore Boyle 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 ID4688065816
PECOS Enrollment IDI20211227000043

Medicare Billing Reassignment

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

Physical Therapist
37 SOUTH ST
Marcellus, NY 13108
  • Reassigned Medicare billing, New York enrollment
  • 5 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 2

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.
366 services26 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.
51 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13036 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
124 US ROUTE 11, KUSS PHYSICAL THERAPY
CENTRAL SQUARE, NY 13036
Physical Therapist
124 US ROUTE 11
CENTRAL SQUARE, NY 13036
Physical Therapist
124 US ROUTE 11
CENTRAL SQUARE, NY 13036
Physical Therapist
124 US ROUTE 11
CENTRAL SQUARE, NY 13036
Physical Therapist
124 US ROUTE 11
CENTRAL SQUARE, NY 13036
Massage Therapist
124 US ROUTE 11
CENTRAL SQUARE, NY 13036
Physical Therapist
124 US ROUTE 11, KUSS PHYSICAL THERAPY
CENTRAL SQUARE, NY 13036

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 Theodore Boyle's NPI number?

The NPI number for Theodore Boyle is 1558024588. It was assigned to this individual provider in the NPPES registry on October 17, 2021.

Where is Theodore Boyle located?

Theodore Boyle practices at 124 Us Route 11, Central Square, NY 13036. The listed phone number is (315) 668-0123.

What is Theodore Boyle's specialty?

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

Is Theodore Boyle enrolled in Medicare?

Yes. Theodore Boyle 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 Theodore Boyle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Boyle reassigns Medicare benefits to Rebound Sports And Orthopedic Physical Therapy, P.C. (Marcellus, NY). 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 Theodore Boyle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Theodore Boyle was last updated on October 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.