MEDICARE: DAVID A BOYCE PT, OCS, ECS, EDD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT001844	KY
2	2251E1300X	Clinical Electrophysiology Physical Therapist	PT001844	KY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00820915	OTHER	KY	MEDICARE RAILROAD CARRIER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	50012586	OTHER	KY	PASSPORT
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720033533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID A BOYCE PT, OCS, ECS, EDD

Provider Business Mailing Address
First Line	:	3810 ZARING MILL CIRCLE
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40241-3052
Country	:	US
Telephone Number	:	502-454-5544
Fax Number	:	502-454-5562

Provider Business Practice Location Address
First Line	:	3052 BARDSTOWN RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40205-3020
Country	:	US
Telephone Number	:	502-454-5544
Fax Number	:	502-454-5562

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	03/22/2023

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Directions to “ DAVID A BOYCE PT, OCS, ECS, EDD” Practice Location

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