Individual provider Active NPI

Kasey Marie Boswell, D.P.T

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1295912061
Registry record updated Apr 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
005240 Issued in KY
Practice address
11206 Pebble Trce
Louisville, KY 40229-2788
Phone
(502) 550-0639
NPI assigned
Jan 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 005240 KY Primary

Addresses

Primary practice location

11206 Pebble Trce
Louisville, KY 40229-2788

Mailing address

11206 Pebble Trce
Louisville, KY 40229-2788
Phone (502) 550-0639

Other practice location 1

2520 Bardstown Rd
Suite 1
Louisville, KY 40205-2672
Phone (502) 454-5544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005240KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foundations Pediatric Therapy LLC Current Accepting new patients
Full Range Early Intervention Services LLC Physical Therapist CurrentSince Apr 23, 2023 Accepting new patients
Rehabilitation Services PSC Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681603200000",
    "number": "1295912061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11206 PEBBLE TRCE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402292788",
            "telephone_number": "502-550-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11206 PEBBLE TRCE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402292788",
            "telephone_number": "502-550-0639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2520 Bardstown Rd",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402052672",
            "country_code": "US",
            "telephone_number": "502-454-5544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSWELL",
        "first_name": "KASEY",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "D.P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2023-04-16",
        "certification_date": "2023-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2023; 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.