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

Gerald Bouslog, PT

Individual provider Physical Therapist · NPI 1477666436

Gerald Bouslog, PT is a Physical Therapist in Private Practice in Des Moines, Iowa. Qualified in 1998, 28 years ago. Practices with Mercy Clinics Inc, a 442-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
28
Licensed in
IA
In the registry since
2006
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

604 Locust St Ste 210
Des Moines, IA 50309-3705
Phone: (515) 282-7019
Fax: (515) 282-7213
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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 02853 (IA)

Record details

NPI number1477666436
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 16, 2006
Last updated in NPPESApril 14, 2009
Mailing addressPo Box 1475, Des Moines, IA 50305-1475

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Mercy Clinics Inc — 442 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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