MICHAEL EHAB BOULOS DPT
NPI 1659186328
Physical Therapist in Titusville, FL
About Michael Ehab Boulos Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL EHAB BOULOS DPT (NPI 1659186328) is an individual physical therapist in Titusville, Florida, licensed in Florida (PT42833) and active in the NPI registry since February 2025.
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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michael Ehab Boulos Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Michael Boulos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Titusville, FL 32780
- Reassigned Medicare billing, Florida 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Michael Boulos's NPI number?
The NPI number for Michael Boulos is 1659186328. It was assigned to this individual provider in the NPPES registry on February 10, 2025.
Where is Michael Boulos located?
Michael Boulos practices at 4401 S Hopkins Ave Ste 105, Titusville, FL 32780. The listed phone number is (321) 383-0889.
What is Michael Boulos's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Michael Boulos enrolled in Medicare?
Yes. Michael Boulos is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Michael Boulos's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Boulos reassigns Medicare benefits to Advanced Rehab Center Inc (Titusville, FL). 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 Michael Boulos'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 Michael Boulos was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.