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

Dr. Mary Boulos, DPT

Individual provider Physical Therapist · NPI 1639339245

Dr. Mary Boulos, DPT is a Physical Therapist in Private Practice in Pompton Plains, New Jersey. Qualified in 2008, 18 years ago. Practices with North Jersey Spine Group LLC, a 24-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
18
Licensed in
NJ
In the registry since
2008
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

18 Sanders Pl
Pompton Plains, NJ 07444-1236
Phone: (973) 296-5769
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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 40QA00481400 (NJ)

Record details

NPI number1639339245
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 17, 2008
Last updated in NPPESNovember 3, 2009
Mailing address18 Sanders Pl, Pompton Plains, NJ 07444-1236

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice North Jersey Spine Group Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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