Elisbeth Susan Kosempa

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

21924 Issued in FL

Practice address

6551 Park of Commerce Blvd
Boca Raton, FL 33487-8218

Phone

(800) 347-2264

NPI assigned

May 14, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093921520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 N 23RD ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591011025",
            "telephone_number": "406-208-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6551 PARK OF COMMERCE BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334878218",
            "telephone_number": "800-347-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSEMPA",
        "first_name": "ELISBETH",
        "middle_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "21924",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "1706",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "10769",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Kornblath, PHD
• Melissa Kornhaus, LMHC
• Israel Korobkin
• Lawrence Korpeck, M.D.
• Erik Korsgaard, DO
• Robert Bradley Koser Jr., D.C.
• Linda Koshy, M.D.
• Jeryl Ann Kost, LMHC
• Shellie Jean Koster X, LMHC
• Gary Michael Kot, CPHT

• Physical Therapist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.