MR. CHARLES EDWARD BOULDIN R.P.T.
NPI 1679690101
Specialist in Tupelo, MS
NPI Status: Active since March 22, 2007
Contact Information
4749 S EASON BLVD
SUITE A
TUPELO, MS
ZIP 38801
Phone: (662) 842-3336
Fax: (662) 842-3363
- Individual
- Male
- Specialist
- Accepts Insurance
About CHARLES BOULDIN
This page provides the complete NPI Profile along with additional information for Charles Bouldin, a provider established in Tupelo, Mississippi with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1679690101 assigned on March 2007. The practitioner's primary taxonomy code is 174400000X with license number PT0198 (MS). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1679690101
- Provider Name
- MR. CHARLES EDWARD BOULDIN R.P.T.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4749 S EASON BLVD SUITE A TUPELO, MS 38801
- Location Phone
- (662) 842-3336
- Location Fax
- (662) 842-3363
- Mailing Address
- 4749 S EASON BLVD SUITE A TUPELO, MS 38801
- Mailing Phone
- (662) 842-3336
- Mailing Fax
- (662) 842-3363
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-22-2007
- Last Update Date
- 11-08-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- PT0198
- License State
- MS
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Molina Gold Standard - HMO
- Molina Silver Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 650000011 | MEDICARE ID-TYPE UNSPECIFIED (04) | MS |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Application of ultrasound, each 15 minutes
Evaluation for physical therapy, typically 30 minutes
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
Therapy procedure using functional activities
Therapy procedure using massage, each 15 minutes
Ultrasound is a medical procedure that uses high-frequency sound waves to capture live images from inside your body. It's a painless process typically lasting 15 minutes per session. This method aids in diagnosing conditions and monitoring health without any radiation exposure.
This service was performed 197 times for 14 patientsAn evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
This service was performed 14 times for 14 patientsThis 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.
This service was performed 224 times for 14 patientsA therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
This service was performed 198 times for 14 patientsThis therapy involves the application of pressure to your body's soft tissues using hands. It helps alleviate pain, reduce stress, and promote relaxation. Each session lasts for 15 minutes and can be tailored to your specific needs.
This service was performed 164 times for 12 patientsReviews for MR. CHARLES EDWARD BOULDIN R.P.T.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1679690101, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
TUPELO, MS 38801
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679690101, enumerated as an "individual" on March 22, 2007.
The provider is located at 4749 S EASON BLVD SUITE A TUPELO, MS 38801 and the phone number is (662) 842-3336.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
