Alexander Michael Bores, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10635 Issued in SC

Practice address

9512 Dorchester Rd Ste 140
Summerville, SC 29485-4305

Phone

(843) 695-7970

Fax

(843) 695-7971

NPI assigned

Jun 14, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1083282271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350",
            "fax_number": "615-921-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9512 DORCHESTER RD STE 140",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294854305",
            "telephone_number": "843-695-7970",
            "fax_number": "843-695-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORES",
        "first_name": "ALEXANDER",
        "middle_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayres Bonneau, LDO
• Alma Boone, NP-C
• Kimberly Breda Boone, PHARMD
• Averie Jacqueline Booth
• Jack H Booth, PSY.D, LPC
• Lynn Bornfriend, MD
• Lesley Ann Bosse, FNP-C
• Haley Tess Bouchard, PA-C
• Sharnice Renee Boulware, APRN
• Shelby Leann Bourgeois

• Physical Therapist in Summerville, SC
• Providers in Summerville, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.