NPI age
1 years
Enumerated 2024-07-23
● Active
Type 1 · Individual
Evan Boullosa, LPTA
Boullosa is 1 of 14 physical therapy assistant providers in Fort Sam Houston and 1 of 5445 in Texas.
Primary specialty
Physical Therapy Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-07-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5445 active physical therapy assistant providers in Texas.
NPI age
1 years
↓ 6 yr below median (7 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
5% of peers hold subspecialties
NPI lifetime · 2024 → 2026
2024-07Enumerated in NPPES
2024
2026
Where they practice
Practice location
3265 Koehler Rd Bldg 1385
Fort Sam Houston, TX 782347587
Mailing address
227 Dwyer Ave Apt 210
San Antonio, TX 782041238
Specialties
-
Physical Therapy Assistant Primary(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.