Evan Boullosa, LPTA
NPI 1780412585 · Physical Therapy Assistant · Fort Sam Houston, TX
Evan Boullosa, LPTA is a Physical Therapy Assistant provider in Fort Sam Houston, TX (NPI 1780412585).
Provider details
- NPI number
- 1780412585
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LPTA
- Sex
- Male
- Sole proprietor
- No
- License
- 2159129 (TX)
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
1 yr 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
- 2024-07-23
- Last updated
- 2024-07-23
- Certified
- 2024-07-23
Frequently asked questions
- What is Evan Boullosa's NPI number?
- Evan Boullosa's National Provider Identifier (NPI) is 1780412585, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Evan Boullosa's specialty?
- Evan Boullosa is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Evan Boullosa located?
- Evan Boullosa's practice location on file with NPPES is 3265 Koehler Rd Bldg 1385, Fort Sam Houston, TX 78234-7587.
- What is Evan Boullosa's phone number?
- The practice phone number listed in the NPPES registry for Evan Boullosa is (210) 221-5033.
- Is Evan Boullosa's NPI active?
- Yes — Evan Boullosa's NPI (1780412585) is active in the NPPES registry as of the last update on 2024-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.