Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Farid Boualam, PT, DPT, CSCS

Individual provider Physical Therapist · NPI 1407384209

Dr. Farid Boualam, PT, DPT, CSCS is a Physical Therapist in Draper, Utah. Practices as a sole proprietor. Licensed in Maryland and Vermont.

Licensed in
MD, VT
In the registry since
2017
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

65 E Wadsworth Park Dr Ste 230
Draper, UT 84020-8096
Phone: (385) 308-8034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 26485 (MD)
Physical Therapist Taxonomy 225100000X · Licence 040.0134584 (VT)

Record details

NPI number1407384209
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , CSCS
Sole proprietorYes
NPI enumeratedMay 24, 2017
Last updated in NPPESMay 30, 2023
Certification dateMay 30, 2023

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