Individual provider Active NPI

Kevin C Boring, MPT

  • Specialist
  • Gassaway, WV
National Provider Identifier
1174637805
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
001248 Issued in WV
Practice address
155 Reston Place
Gassaway, WV 26624
Phone
(304) 364-9191
Fax
(304) 364-9193
NPI assigned
Aug 19, 2006
Last updated
Sep 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 001248 WV Primary

Addresses

Primary practice location

155 Reston Place
Gassaway, WV 26624

Mailing address

155 Reston Place
Gassaway, WV 26624
Phone (304) 364-9191

Other identifiers 1

IdentifierTypeStateIssuer
0157029000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061010000140 WV Practitioner - Physical Therapist in Private Practice 5597760124 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

155 Reston PL
Gassaway, WV 26624-9356
Phone (304) 364-9191

Merit-based Incentive Payment System (MIPS)

Final score
83.3 of 100Reported as group
Quality
71.18
Promoting interoperability
92
Improvement activities
40
Cost
79.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greenbrier Valley Physical Therapy, LLC Specialist CurrentSince Feb 1, 2017 Accepting new patients
Morgantown Physical Therapy Associates, Inc. Single Specialty CurrentSince Aug 23, 2023 Accepting new patients
Greenbrier Valley Physical Therapy LLC Specialist CurrentSince Feb 1, 2017 Accepting new patients
Greenbrier Valley Physical Therapy, LLC Single Specialty Current Accepting new patients
Morgantown Physical Therapy Associates, Inc. CurrentSince Aug 23, 2023 Accepting new patients
Gassaway Glenville Physical Therapy Specialists Past Accepting new patients
Greenbrier Valley Physical Therapy, LLC Specialist Past Accepting new patients
Greenbrier Valley Physical Therapy, LLC Single Specialty Past Accepting new patients

Locations

103 Professional Arts Plaza Dr
Buckhannon, WV 26201
Phone (304) 427-0181

100 Hoylman Dr
Gassaway, WV 26624
Phone (304) 364-1046

155 Reston Pl
Gassaway, WV 26624
Phone (304) 228-7620

200 High St
Glenville, WV 26351
Phone (304) 462-6223

3942 Davis Stuart Rd
Ste 3
Ronceverte, WV 24970
Phone (304) 647-3987

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1174637805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 RESTON PLACE",
            "city": "GASSAWAY",
            "state": "WV",
            "postal_code": "26624",
            "telephone_number": "304-364-9191",
            "fax_number": "304-364-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 RESTON PLACE",
            "city": "GASSAWAY",
            "state": "WV",
            "postal_code": "26624",
            "telephone_number": "304-364-9191",
            "fax_number": "304-364-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORING",
        "first_name": "KEVIN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WV",
            "license": "001248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157029000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gassaway, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.