Kimberly Janeen Bozart - Dow

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3725 Issued in NV

Practice address

1550 W Craig Rd Ste 210
North Las Vegas, NV 89032-0329

Phone

(702) 360-9142

Fax

(702) 878-2018

NPI assigned

Dec 2, 2008

Last updated

Apr 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Janeen Bozart Former name

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBADBD/Endpoint/IBADBD

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.

• Kevin P. Debiparshad PLLC

  dba Synergy Spine & Orthopedics

  • Orthopaedic Surgery of the Spine Physician
  • Las Vegas, NV
  • NPI 1942718101

  Physical Therapist

  Medicare reassignment NPD
• Nevada Luna Care Physical Therapy LLC

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1457087009
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1083869283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 W CRAIG RD STE 210",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320329",
            "telephone_number": "702-360-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 W CRAIG RD STE 210",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320329",
            "telephone_number": "702-360-9142",
            "fax_number": "702-878-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZART - DOW",
        "first_name": "KIMBERLY",
        "middle_name": "JANEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BOZART",
            "middle_name": "JANEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Boyett
• Beverly Boykin
• Damica D. Boykin
• Aletha Boykins
• Orest Bohdan Boyko, M.D.
• Robert Edward Brabec II
• Charlette Bracken
• Carmen Bradbury-Wong, MD
• Braden Partners LP
• Dante' Bradford

• Physical Therapist in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.