Active NPI
Jerri Boney, PT
- Physical Therapist
- Winston Salem, NC
National Provider Identifier
1720111909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11005
- Practice address
- 1250 Arbor Rd
Winston Salem, NC 27104-1106 - Phone
- (336) 724-7921
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11005 | NC | Primary |
Addresses
Primary practice location
1250 Arbor Rd
Winston Salem, NC 27104-1106
Mailing address
834 Madison Place Cir
Kernersville, NC 27284-7754
Phone (336) 993-5536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Therapeutics LTD | Physical Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
2701 Pickett Rd
Durham, NC 27705
Phone (919) 419-4012
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
2147 Davie Ave
Statesville, NC 28625
Phone (704) 878-0123
Organizations & group practices 4
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.
-
- Physical Therapist
- Statesville, NC
- NPI 1619575651
-
- Physical Therapist
- Durham, NC
- NPI 1104823400
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1720111909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "834 MADISON PLACE CIR",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272847754",
"telephone_number": "336-993-5536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 ARBOR RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271041106",
"telephone_number": "336-724-7921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONEY",
"first_name": "JERRI",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "11005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.