Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ansley Walker Boutin, PT

Individual provider Orthopedic Physical Therapist · NPI 1104222785

Ansley Walker Boutin, PT is an Orthopedic Physical Therapist in Huntersville, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2014
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

10305 Hamptons Park Dr Ste 101
Huntersville, NC 28078-7221
Phone: (704) 384-5520
Fax: (704) 316-1848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10030 Gilead Rd Ste 103, Huntersville, NC 28078-7545 — (704) 316-5505

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P7648 (NC)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 7648 (NC)

Record details

NPI number1104222785
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 10, 2014
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024

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