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

Individual provider Physical Therapist · NPI 1366253643

Nicholas Boulanger, PT is a Physical Therapist in Monongahela, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2025.

Licensed in
PA
In the registry since
2025
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

1027 Country Club Rd
Monongahela, PA 15063-1553
Phone: (724) 258-6211
Fax: (724) 258-6225
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Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT032810 (PA)

Record details

NPI number1366253643
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 16, 2025
Last updated in NPPESJanuary 16, 2025
Certification dateJanuary 14, 2025
Mailing address4325 Rte 51 N, Rostraver Twp, PA 15012-3535

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