Individual provider Active NPI

Kimberly Taylor Bost, PT

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1861849424
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P2582 Issued in NC
Practice address
10508 Park Rd Ste 120
Charlotte, NC 28210-8526
Phone
(704) 541-3055
Fax
(704) 319-2166
NPI assigned
May 24, 2016
Last updated
May 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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 P2582 NC Primary

Addresses

Primary practice location

10508 Park Rd Ste 120
Charlotte, NC 28210-8526

Mailing address

10508 Park Rd Ste 120
Charlotte, NC 28210-8526
Phone (704) 541-3055

Other practice location 1

1315 E Sunset Dr
Monroe, NC 28112-4324
Phone (704) 289-4595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160822001756 NC Practitioner - Physical Therapist in Private Practice 2466747076 Reassigns benefits to 1 organization
I20250417003608 SC Practitioner - Physical Therapist in Private Practice 2466747076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collective Therapy CorpGroup PAC ID 0143651802, 75 clinicians

Practice addresses (Care Compare)

1973 Faison Ave
Fort Mill, SC 29708-8433
Phone (704) 285-8207

507 Wakefield Dr
Apt C
Charlotte, NC 28209-3148
Phone (704) 285-8207

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P2582NCMDPhysical Therapist
5270SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Collective Therapy Corp. Physical Therapist CurrentSince Mar 11, 2025 Accepting new patients
Charlotte Neuroscience Foundation PastSince Mar 11, 2025 Accepting new patients

Locations

8919 Park Rd
Charlotte, NC 28210
Phone (704) 384-1225

5028 Holloway Dr
Fort Mill, SC 29715
Phone (704) 285-8207

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, 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": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1861849424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10508 PARK RD STE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108526",
            "telephone_number": "704-541-3055",
            "fax_number": "704-319-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10508 PARK RD STE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108526",
            "telephone_number": "704-541-3055",
            "fax_number": "704-319-2166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1315 E Sunset Dr",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281124324",
            "country_code": "US",
            "telephone_number": "704-289-4595",
            "fax_number": "704-289-5829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOST",
        "first_name": "KIMBERLY",
        "middle_name": "TAYLOR",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P2582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 20, 2025; 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.