Nikolos William Boehmer, PT, DPT
NPI 1174502645ActiveIndividual· Physical Therapist· Southport, NC
Physical Therapist (PT, DPT) in Southport, North Carolina, trained at Duke University School of Medicine (class of 2005). Medicare paid $78,606 for services to 158 patients in 2024.
Overview
| NPI | 1174502645 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Jan 12, 2006 |
| Last updated in NPPES | Mar 24, 2021 |
| Certified by provider | Mar 24, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 10175 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 158 |
|---|---|
| Services billed | 4,208 across 15 procedure codes |
| Paid by Medicare | $78,606 |
Education and affiliations
| Medical school | Duke University School of Medicine |
|---|---|
| Graduation year | 2005 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Carolina Rehabilitation IncHuntersville, NC · 13 clinicians
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