Kathryn Elizabeth Rand Booher, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

18587 Issued in NC

Practice address

318 S Norwood St
Wallace, NC 28466-1446

Phone

(910) 285-1799

NPI assigned

Mar 26, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.95 of 100Reported as apm

Quality

82.44

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  Medicare reassignment Care Compare group NPD
• Coastline Therapy Group, LLC

  • Speech-Language Pathologist
  • Wilmington, NC
  • NPI 1730681388

  Physical Therapist

  Medicare reassignment NPD
• Coastal Speech and Reading Center

  • Speech-Language Pathologist
  • Lumberton, NC
  • NPI 1649626466
  NPD (past)
• Duplin General Hospital, Incorporated

  • Specialist
  • Kenansville, NC
  • NPI 1942478383
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1073074985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DAREL ST.",
            "city": "ROCKY POINT",
            "state": "NC",
            "postal_code": "28457",
            "telephone_number": "910-998-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 S NORWOOD ST",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "284661446",
            "telephone_number": "910-285-1799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Beasley St",
            "address_purpose": "LOCATION",
            "city": "Kenansville",
            "state": "NC",
            "postal_code": "283498727",
            "country_code": "US",
            "telephone_number": "910-202-9615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "514 S Main St",
            "address_purpose": "LOCATION",
            "city": "Kenansville",
            "state": "NC",
            "postal_code": "28349",
            "country_code": "US",
            "telephone_number": "910-372-9300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 N Main St",
            "address_purpose": "LOCATION",
            "city": "Kenansville",
            "state": "NC",
            "postal_code": "283498801",
            "country_code": "US",
            "telephone_number": "910-372-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOHER",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH RAND",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2022-07-26",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "18587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC PT LICENSE #",
            "identifier": "18587",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean Kelly Bish, DPT
• Blair Family Medicine
• Mott Parks Blair IV, M.D.
• Joseph Bologna, D.M.D.
• Angela Boney, PHARMD
• Jennifer Nicole Brennan, FNP
• Erika Houston Brown, O.D.
• Brittany Byrd, PHARMD
• Carolina Healthcare Associates Inc
• Carolina Residential Services, Inc.

• Physical Therapist in Wallace, NC
• Providers in Wallace, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.