Randal Gene Bosi, OTR

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

3007-026 Issued in WI

Practice address

600 S Webster Ave
Green Bay, WI 54301-3503

Phone

(920) 432-3213

NPI assigned

Jan 28, 2009

Last updated

Jan 28, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233100800000",
    "number": "1225276371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 WINDROSE CT",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543117587",
            "telephone_number": "920-883-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S WEBSTER AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013503",
            "telephone_number": "920-432-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSI",
        "first_name": "RANDAL",
        "middle_name": "GENE",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "WI",
            "license": "3007-026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne Borowitz, SAC-IT
• Heather A Bors
• Gail P Bosco, PA
• John J. Bosco, M.D.
• Laura Bosco, NP
• Meredith Frances Bosley, MSOTR/L
• Gregory Matthew Bottei, MD
• Barbara Lynn Boucher, NP
• Jamey Michael Boucher, APNP
• Thomas Boucher

• Physical Rehabilitation Occupational Therapist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Physical Rehabilitation Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; 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.