Kimberly Sue Boozell, LPTA
Individual provider Active NPI Physical Therapy Assistant · Johnstown, OH
NPI 1104902410 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104902410
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA 05449 (OH)
- Practice address
- 32 S Main St
Johnstown, OH 43031-1225 - Phone
- (740) 967-0303
- Fax
- (740) 967-2332
- NPI assigned
- Oct 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA 05449 | OH | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnstown Physical Therapy | Physical Therapy Assistant | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA 05449 | OH | Yes |
Addresses
Primary practice location
32 S Main St
Johnstown, OH 43031-1225
Mailing address
10853 Lafayette Rd
Johnstown, OH 43031-9396
Phone (740) 334-1395
Other providers in Johnstown, OH
- Sheryl Austin
- Mark L. Bailey
- Amy Bennett
- Carrie Berghoff
- Mary Elizabeth Berkey
- Brian J Walsh DDS Inc
- Timothy John Bright
- Courtney Marianne Brown
- Jami Ranee Canning
- Jeffrey Michael Capers
All providers in Johnstown, OH · Physical Therapy Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.