Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Nikolos William Boehmer, PT, DPT

Individual provider Physical Therapist · NPI 1174502645

Mr. Nikolos William Boehmer, PT, DPT is a Physical Therapist in Private Practice in Southport, North Carolina. Graduated from Duke University School of Medicine in 2005, 21 years ago. Practices with Carolina Rehabilitation Inc, a 9-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
21
Trained at
Duke University School of Medicine
Licensed in
NC
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4330 Southport Supply Rd Ste 201
Southport, NC 28461
Phone: (910) 457-0113
Fax: (910) 457-0114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 10175 (NC)

Record details

NPI number1174502645
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJanuary 12, 2006
Last updated in NPPESMarch 24, 2021
Certification dateMarch 24, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolDUKE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Carolina Rehabilitation Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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