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

Kyrollos Boules, PT

Individual provider Physical Therapist · NPI 1265184303

Kyrollos Boules, PT is a Physical Therapist in Private Practice in Port Huron, Michigan. Graduated from Rutgers New Jersey Medical School in 2015, 11 years ago. Practices with Orthopedic Associates of Port Huron PC, a 22-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
11
Trained at
Rutgers New Jersey Medical School
Licensed in
MI
In the registry since
2022
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

940 River Centre Dr
Port Huron, MI 48060-4463
Phone: (810) 985-4900
Fax: (810) 985-3634
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501303435 (MI)

Record details

NPI number1265184303
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 20, 2022
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025
Mailing address940 River Centre Dr, Port Huron, MI 48060-4463

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 2015 (11 years in practice)
Group practice Orthopedic Associates Of Port Huron Pc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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