Individual provider Active NPI

Aubrey Gayle Boos

  • Physical Therapist
  • Clemmons, NC
National Provider Identifier
1861250243
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3311 Jessie Village Dr
Clemmons, NC 27012-9963
Phone
(336) 329-8240
Fax
(336) 329-8240
NPI assigned
Mar 11, 2024
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

3311 Jessie Village Dr
Clemmons, NC 27012-9963

Mailing address

2281 Farmington Rd
Mocksville, NC 27028-7656
Phone (616) 916-9421

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240729000236 TN Practitioner - Physical Therapist in Private Practice 0143766949 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT Solutions LLCGroup PAC ID 5496668667, shared by 3 NPIs, 17 clinicians

Practice addresses (Care Compare)

3135 Peoples St
Johnson City, TN 37604-4130
Phone (423) 454-1006

444 Clinchfield St
Suite 102
Kingsport, TN 37660-3859
Phone (423) 212-5966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PT Solutions LLC Physical Therapist Current Accepting new patients
PT Solutions, LLC Physical Therapist CurrentSince Jul 15, 2024 Accepting new patients
PT Solutions, LLC CurrentSince Jul 15, 2024 Accepting new patients
PT Solutions LLC Physical Therapist Current Accepting new patients
PT Solutions LLC Physical Therapist PastSince Feb 16, 2020 Accepting new patients

Locations

1321 Tusculum Blvd
Unit 9
Greeneville, TN 37745
Phone (423) 798-8420

3135 Peoples St
Johnson City, TN 37604
Phone (423) 454-1006

444 Clinchfield St
Ste 102
Kingsport, TN 37660
Phone (423) 212-5966

11135 Kingston Pike
Knoxville, TN 37934
Phone (865) 381-5658

Organizations & group practices 5

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": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1861250243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2281 FARMINGTON RD",
            "city": "MOCKSVILLE",
            "state": "NC",
            "postal_code": "270287656",
            "telephone_number": "616-916-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 JESSIE VILLAGE DR",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129963",
            "telephone_number": "336-329-8240",
            "fax_number": "336-329-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOS",
        "first_name": "AUBREY",
        "middle_name": "GAYLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemmons, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.