NPIMap

Organization Active NPI

Bossi,LLC

Doing business as BodyOne Physical Therapy

  • Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1306864541
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05005624A Issued in IN
Legal business name
BOSSI,LLC
Doing business as
BodyOne Physical Therapy
Practice address
7855 S Emerson Ave
Ste W
Indianapolis, IN 46237-8668
Phone
(317) 581-1890
Fax
(317) 581-2436
NPI assigned
Jul 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Kenneth Clark Johnson, P.T.NPI 1952332322
Title
Owner
Phone
(317) 581-1890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 05005624A IN Primary

Addresses

Primary practice location

7855 S Emerson Ave
Ste W
Indianapolis, IN 46237-8668

Mailing address

9102 N Meridian St
Ste 415
Indianapolis, IN 46260-1860
Phone (317) 581-1890

Other names 1

  • BodyOne Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

9102 N Meridian St
Ste 415
Indianapolis, IN 46260
Phone (317) 581-1890

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306864541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9102 N MERIDIAN ST",
            "address_2": "STE 415",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601860",
            "telephone_number": "317-581-1890",
            "fax_number": "317-581-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 S EMERSON AVE",
            "address_2": "STE W",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378668",
            "telephone_number": "317-581-1890",
            "fax_number": "317-581-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSSI,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-581-1890",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05005624A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BodyOne Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.