Bossi,LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05005624A Issued in IN

Legal business name

BOSSI,LLC

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

Organization subpart

No

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.

Title

Owner

Phone

(317) 581-1890

Specialties & licenses 1

Addresses

Other names 1

• BodyOne Physical Therapy Doing business as

Member of 1

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

• Body One Health and Fitness Center, LLC

  • Physical Therapist
  • Indianapolis, IN
  • NPI 1528092442

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heidi Rae Stout, P.T.

  • Physical Therapist
  • Indianapolis, IN
  • NPI 1184669400
  NPD (past)
• Meg Zachwieja, P.T.

  • Physical Therapist
  • Indianapolis, IN
  • NPI 1225073406
  NPD (past)

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"
        }
    ]
}

• Evelyn E Bose, MD
• Paroma Bose, M.D.
• Gregory Alan Bosh, M.D.
• Eric Edward Boss, M.D.
• Kristen Kay Boss, NP
• Gabriel Timothy Bosslet, MD
• Sarah S Bosslet, MD
• Tyrone Bostic, PH.D
• Boston Brace International Inc.
• Abby Boston, LCSW

• All providers in Indianapolis, IN
• Physical Therapist in Indiana

• 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.