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

Russell Kevin Bouldin, RPT

Individual provider Physical Therapist · NPI 1770551426

Russell Kevin Bouldin, RPT is a Physical Therapist in Private Practice in Las Vegas, Nevada. Qualified in 1994, 32 years ago. Practices with Orthopedics and Sports Medicine Ltd, a 4-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
32
Licensed in
NV
In the registry since
2006
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Practice location Address checks out

9499 W Charleston Blvd Ste 220
Las Vegas, NV 89117-7147
Phone: (702) 933-9394
Fax: (702) 933-9395
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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 0847 (NV)

Record details

NPI number1770551426
Entity typeIndividual (Type 1)
GenderMale
Credentials RPT
Sole proprietorNo
NPI enumeratedMarch 9, 2006
Last updated in NPPESMay 21, 2008

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Orthopedics And Sports Medicine Ltd — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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