Active NPI
Bailey Nicole Boggs, OTD
- Occupational Therapist
- Concord, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 15483
- Practice address
- 1090 NE Gateway CT NE
Ste 204a
Concord, NC 28025-2414 - Phone
- (704) 403-9239
- NPI assigned
- Sep 8, 2017
- Last updated
- Sep 25, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 15483 | NC | Primary |
Addresses
Primary practice location
1090 NE Gateway CT NE
Ste 204a
Concord, NC 28025-2414
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
1100 Blythe Blvd
Charlotte, NC 28203-5814
Phone (704) 355-4300
Other practice location 2
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000
Other practice location 3
2301 US Highway 74 W
Wadesboro, NC 28170-7554
Phone (704) 994-4500
Other practice location 4
201 E Grover St
Shelby, NC 28150-3917
Phone (980) 487-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4525 Cameron Valley Pkwy
Charlotte, NC 28211-4369
Phone (704) 468-8874
6048 W Hwy 74
Indian Trail, NC 28079-3591
Phone (980) 993-5540
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15483 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrium Health Specialty Network Inc | Occupational Therapist | Current | Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Carolinas Rehabilitation | Past | Accepting new patients |
Locations
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
4525 Cameron Valley Pkwy
Charlotte, NC 28211
Phone (704) 355-5100
1090 NE Gateway Ct NE
Ste 204
Concord, NC 28025
Phone (704) 403-7020
1090 NE Gateway Ct NE
Ste 204A
Concord, NC 28025
Phone (704) 403-9100
200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740
201 E Grover St
Shelby, NC 28150
Phone (704) 487-3000
2301 US Highway 74 W
Wadesboro, NC 28170
Phone (704) 694-5131
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.
-
dba Atrium Health Dermatology
- Dermatology Physician
- Charlotte, NC
- NPI 1538975636
Occupational Therapist
-
dba Levine Cancer Institute
- Medical Oncology Physician
- Indian Land, SC
- NPI 1669738829
NC
-
dba Piedmont Orthopedic Specialists
- Orthopaedic Surgery Physician
- Concord, NC
- NPI 1629432281
-
dba Atrium Health Pineville Rehabilitation Hospital
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
-
- Clinic/Center
- Huntersville, NC
- NPI 1407893944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1861910937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 NE GATEWAY CT NE",
"address_2": "STE 204A",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252414",
"telephone_number": "704-403-9239"
}
],
"practiceLocations": [
{
"address_1": "1100 Blythe Blvd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282035814",
"country_code": "US",
"telephone_number": "704-355-4300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Blythe Blvd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282035812",
"country_code": "US",
"telephone_number": "704-355-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2301 US Highway 74 W",
"address_purpose": "LOCATION",
"city": "Wadesboro",
"state": "NC",
"postal_code": "281707554",
"country_code": "US",
"telephone_number": "704-994-4500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 E Grover St",
"address_purpose": "LOCATION",
"city": "Shelby",
"state": "NC",
"postal_code": "281503917",
"country_code": "US",
"telephone_number": "980-487-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOGGS",
"first_name": "BAILEY",
"middle_name": "NICOLE",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-08",
"last_updated": "2025-09-25",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "15483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.