Individual provider Active NPI

Courtenay Boyle, D.C.

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1568856052
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4785 Issued in NC
Practice address
1433 Heather LN Ste D
Charlotte, NC 28209-2563
Phone
(980) 201-8939
NPI assigned
Mar 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104557224 VA
Chiropractor 111N00000X 4785 NC Primary

Addresses

Primary practice location

1433 Heather LN Ste D
Charlotte, NC 28209-2563

Mailing address

1433 Heather LN Ste D
Charlotte, NC 28209-2563
Phone (980) 201-8939

Other names 1

  • Courtenay Schroeder Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231207001274 SC Practitioner - Chiropractic 6507178670 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Sports Clinic-Fort Mill,LLCGroup PAC ID 8123336922, 3 clinicians

Practice addresses (Care Compare)

1096 Assembly Dr
Suite 310
Fort Mill, SC 29708-6450
Phone (803) 547-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4785NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Mill Spine and Sports Rehab, LLC Chiropractor CurrentSince Jun 1, 2025 Accepting new patients
Carolina Sports Clinic-Fort Mill,LLC Chiropractor CurrentSince Nov 1, 2023 Accepting new patients

Locations

1096 Assembly Dr
Ste 310
Fort Mill, SC 29708
Phone (803) 547-9800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1568856052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 HEATHER LN STE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092563",
            "telephone_number": "980-201-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 HEATHER LN STE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092563",
            "telephone_number": "980-201-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "COURTENAY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-24",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557224",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTENAY",
            "last_name": "SCHROEDER",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.