Raven Boatman, PTA
NPI 1134701642 · Physical Therapy Assistant · Grenada, MS
Raven Boatman, PTA is a Physical Therapy Assistant provider in Grenada, MS (NPI 1134701642).
Provider details
- NPI number
- 1134701642
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- PTA6380 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Mailing address
Registry dates
- Enumerated
- 2021-04-23
- Last updated
- 2021-04-23
- Certified
- 2021-04-23
Frequently asked questions
- What is Raven Boatman's NPI number?
- Raven Boatman's National Provider Identifier (NPI) is 1134701642, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raven Boatman's specialty?
- Raven Boatman is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Raven Boatman located?
- Raven Boatman's practice location on file with NPPES is 1966 F S Hill Dr, Grenada, MS 38901-5047.
- What is Raven Boatman's phone number?
- The practice phone number listed in the NPPES registry for Raven Boatman is (662) 226-2442.
- Is Raven Boatman's NPI active?
- Yes — Raven Boatman's NPI (1134701642) is active in the NPPES registry as of the last update on 2021-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.