IndividualActive
Michael Boully, P.T.
NPI 1134249592 · Physical Therapist · Sun City Center, FL
Provider details
- NPI number
- 1134249592
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- No
- License
- PT18461 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1513 Sun City Center Plz
Sun City Center, FL 33573-5390
Phone: (813) 634-6022
Fax: (813) 634-6053
Street-level locationGet directions
Mailing address
6021 Rolling Vista Loop
Dover, FL 33527-4268
Registry dates
- Enumerated
- 2007-03-30
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.