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

Seth Matthew Boullion, DPT

Individual provider Physical Therapist · NPI 1922983923

Seth Matthew Boullion, DPT is a Physical Therapist in Private Practice in Lake Charles, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 2025, 1 year ago. Practices with Southwest Louisiana Sports and Rehabilitation Center, LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
1
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
LA
In the registry since
2025
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

208 W McNeese St
Lake Charles, LA 70605-5638
Phone: (337) 475-1053
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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 12165 (LA)

Record details

NPI number1922983923
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials DPT
Sole proprietorYes
NPI enumeratedAugust 8, 2025
Last updated in NPPESAugust 8, 2025
Certification dateAugust 8, 2025
Mailing address208 W McNeese St, Lake Charles, LA 70605-5638

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2025 (1 years in practice)
Group practice Southwest Louisiana Sports And Rehabilitation Center, Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lake Charles