KODY RYAN BOLES PT, DPT
NPI 1922845619
Physical Therapist in San Diego, CA

Active since July 10, 2024Accepts Medicare Assignment
10625 SCRIPPS RANCH BLVD STE D2, SAN DIEGO, CA 92131(858) 324-5537 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kody Ryan Boles Pt, Dpt NPPES

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

KODY RYAN BOLES PT, DPT (NPI 1922845619) is an individual physical therapist in San Diego, California, licensed in California (PT306036) and active in the NPI registry since July 2024. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1922845619
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameKODY RYAN BOLESCredential: PT, DPT
Location Address10625 SCRIPPS RANCH BLVD STE D2San Diego, CA 92131-1012
Mailing Address10625 Scripps Ranch Blvd Ste D2San Diego, CA 92131-1012 · (206) 491-7135
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 10, 2024
NPPES CertifiedJuly 10, 2024
✔ NPI 1922845619 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 CA · PT306036
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.
10625 SCRIPPS RANCH BLVD STE D2, San Diego, CA 92131

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

Kody Ryan Boles Pt, 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 ID8123569886
PECOS Enrollment IDI20240920002537

Medicare Billing Reassignments

2

Medicare enrollment records show Kody Boles reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
10625 SCRIPPS RANCH BLVD STE C
San Diego, CA 92131
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
Physical Therapy
15373 INNOVATION DR, SUITE 175
San Diego, CA 92128
  • Reassigned Medicare billing, California enrollment
  • 15 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

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 functional activities 97530
A 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.
210 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92131 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

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 Kody Boles's NPI number?

The NPI number for Kody Boles is 1922845619. It was assigned to this individual provider in the NPPES registry on July 10, 2024.

Where is Kody Boles located?

Kody Boles practices at 10625 Scripps Ranch Blvd Ste D2, San Diego, CA 92131. The listed phone number is (858) 324-5537.

What is Kody Boles's specialty?

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

Is Kody Boles enrolled in Medicare?

Yes. Kody Boles 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 organizations bill Medicare for Kody Boles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kody Boles reassigns Medicare benefits to 2 organizations: Auto-Ness Physical Therapy (San Diego, CA) and Beth Scalone Pt, Inc (San Diego, CA). Each 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 Kody Boles'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 Kody Boles was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.