Kristopher David Bosch, PT, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2299 Issued in NV

Practice address

8218 Seymour Johnson Ave
Las Vegas, NV 89191-6152

Phone

(702) 652-9893

NPI assigned

Jul 27, 2006

Last updated

Aug 9, 2023By 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 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Fortis Fitness & Rehabilitation, LLC

  dba Empower Medical Performance

  • Physical Therapy Clinic/Center
  • Henderson, NV
  • NPI 1053837385
  NPD (past) Authorized official
• Northstar Physical Therapy PLLC

  • Physical Therapist
  • Buffalo, NY
  • NPI 1528199775
  NPD (past) Authorized official

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1306860671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8218 SEYMOUR JOHNSON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891916152",
            "telephone_number": "702-652-9893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8218 SEYMOUR JOHNSON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891916152",
            "telephone_number": "702-652-9893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSCH",
        "first_name": "KRISTOPHER",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026488",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2299",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "000605",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NV",
            "license": "0506266",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Borvick
• Holly Bosak
• Rebecca J Boscaljon, MD
• Dayana Bosch Sahagun
• Jessica Lynn Bosch
• Kimberly Boschee, LCSW
• Sharise Bose
• Stephanie Boseck
• Avery Joseph Boser, RBT
• Workenish Boset

• Physical Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.