Individual provider Active NPI

David Michael Boles, DPT

  • Physical Therapist
  • Greensboro, NC
National Provider Identifier
1710583208
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12434 Issued in SC
Practice address
500 Americhase Dr Ste K
Greensboro, NC 27409-9507
Phone
(336) 665-8445
NPI assigned
Dec 9, 2020
Last updated
Aug 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P19860 NC
Physical Therapist 225100000X 12434 SC Primary

Addresses

Primary practice location

500 Americhase Dr Ste K
Greensboro, NC 27409-9507

Mailing address

350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P19860NCMDPhysical Therapist
12434SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Jul 29, 2024 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince Jul 29, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jul 29, 2024 Accepting new patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Dec 11, 2020 Accepting new patients
Physical Therapy of the Triad, Corp. Physical Therapist CurrentSince Dec 13, 2020 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Jul 29, 2024 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Jul 29, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jul 29, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

2301 Battleground Ave
Ste 103
Greensboro, NC 27408
Phone (336) 665-8445

500 Americhase Dr
Ste K
Greensboro, NC 27409
Phone (336) 665-8445

3410 Executive Dr
Ste 205
Raleigh, NC 27609
Phone (919) 322-0042

1602 S Stratford Rd
Ste 130
Winston Salem, NC 27103
Phone (336) 281-2045

130 Amicks Ferry Rd
#G
Chapin, SC 29036
Phone (803) 932-2176

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

11107 Broad River Rd
Ste T
Irmo, SC 29063
Phone (803) 769-7909

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772

Organizations & group practices 8

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": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1710583208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-258-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 AMERICHASE DR STE K",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274099507",
            "telephone_number": "336-665-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLES",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-09",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19860",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.