Active NPI
David Michael Boles, DPT
- Physical Therapist
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12434
- Practice address
- 500 Americhase Dr Ste K
Greensboro, NC 27409-9507 - Phone
- (336) 665-8445
- NPI assigned
- Dec 9, 2020
- Last updated
- Aug 12, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| P19860 | NC | MD | Physical Therapist |
| 12434 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy - South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Health Services | Physical Therapist | Current | Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Activcare Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Physical Therapy of the Triad, Corp. | Physical Therapist | Current | Accepting new patients |
| Benchmark Healthcare Services, LLC | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy-South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Physical Therapist | Current | 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.
-
dba Pivot Physical Therapy of Carolina
- Clinic/Center
- Raleigh, NC
- NPI 1548409626
Physical Therapist
-
- Physical Therapist
- High Point, NC
- NPI 1790096485
-
dba Results Physiotherapy
- Physical Therapy Clinic/Center
- Hixson, TN
- NPI 1962417444
Physical Therapist
-
dba Results Physiotherapy
- Physical Therapy Clinic/Center
- Chattanooga, TN
- NPI 1518695436
Physical Therapist
-
- Physical Therapist
- Easley, SC
- NPI 1457842643
-
- Physical Therapist
- Ooltewah, TN
- NPI 1811213341
-
- Physical Therapist
- Camden, SC
- NPI 1154816833
-
- Physical Therapist
- Columbia, SC
- NPI 1841622354
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.