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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. NIKOLOS WILLIAM BOEHMER, PT, DPT

Active

MR. NIKOLOS WILLIAM BOEHMER, PT, DPT is a Physical Therapy Assistant healthcare provider located in SOUTHPORT, North Carolina. NPI 1174502645 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SOUTHPORT, NC

Registration Details

NPI Number
1174502645
Provider Type
Individual
Gender
Male
NPI Issued
Jan 12, 2006 (20.406017914319 yrs)
Last Updated
Mar 24, 2021
License
10175 (NC)

Practice Information

Address
4330 SOUTHPORT SUPPLY ROAD
SUITE 201
SOUTHPORT, NC, 28461
Browse NC providers · Browse ZIP 28461
Phone
9104570113
Fax
9104570114
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in SOUTHPORT, NC

Name Credential NPI
CHRISTINA VALVANO ENGLAND PT 1326028754
JOAN TAYLOR-WEBB DPT 1225009277
MR. GARRETT JAMES FITZGIBBONS PT 1467461475
KATHLEEN P BIRON PT 1902919400
PAMELA R DEHNE PT 1164538898
MARY FRANCIS STOKER DPT 1295828093
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.