Individual provider Active NPI

Steven Brian Boswell Jr., PT, DPT

  • Physical Therapist
  • Christiansburg, VA
National Provider Identifier
1255846044
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305211394 Issued in VA
Practice address
125 Akers Farm Road
Suite B
Christiansburg, VA 24073-4867
Phone
(540) 773-2656
NPI assigned
Dec 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 2305211394 VA Primary

Addresses

Primary practice location

125 Akers Farm Road
Suite B
Christiansburg, VA 24073-4867

Mailing address

1115 Boulders Parkway
Suite 200
North Chesterfield, VA 23225-4067
Phone (804) 347-5583

Other practice location 1

701 Liberty St
Ramseur, NC 27316-9464
Phone (336) 824-8855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180627000089 VA Practitioner - Physical Therapist in Private Practice 9739434127 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthovirginia IncGroup PAC ID 0547157224, 570 clinicians

Practice addresses (Care Compare)

125 Akers Farm Rd
Suite Bandc
Christiansburg, VA 24073-4866
Phone (540) 552-7133

Merit-based Incentive Payment System (MIPS)

Final score
90.85 of 100Reported as group
Quality
90.74
Promoting interoperability
100
Improvement activities
40
Cost
78.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305211394VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Feb 14, 2020 Accepting new patients
Orthovirginia Inc Physical Therapist Current Accepting new patients
Orthovirginia, Inc CurrentSince Jun 28, 2021 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Feb 14, 2020 Accepting new patients
Orthovirginia, Inc. CurrentSince Jun 28, 2021 Accepting new patients

Locations

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

250 S Main St
Ste 224A
Blacksburg, VA 24060
Phone (540) 552-7122

125 Akers Farm Rd
Ste B
Christiansburg, VA 24073
Phone (540) 381-8595

10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210

8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595

1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242

1441 W Main St
Salem, VA 24153
Phone (540) 346-1328

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1255846044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 BOULDERS PARKWAY",
            "address_2": "SUITE 200",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232254067",
            "telephone_number": "804-347-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 AKERS FARM ROAD",
            "address_2": "SUITE B",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240734867",
            "telephone_number": "540-773-2656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Liberty St",
            "address_purpose": "LOCATION",
            "city": "Ramseur",
            "state": "NC",
            "postal_code": "273169464",
            "country_code": "US",
            "telephone_number": "336-824-8855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSWELL",
        "first_name": "STEVEN",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-03",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.