Active NPI
Saul Bosley, PT
- Physical Therapist
- San Antonio, TX
National Provider Identifier
1346453099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1142834
- Practice address
- 8632 Fredericksburg Road, Ste 212
San Antonio, TX 78240 - Phone
- (210) 696-5777
- NPI assigned
- May 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1142834 | TX | Primary |
Addresses
Primary practice location
8632 Fredericksburg Road, Ste 212
San Antonio, TX 78240
Mailing address
114 Glendale Road
Sweetwater, TX 79556
Phone (325) 864-9072
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1142834 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346453099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 GLENDALE ROAD",
"city": "SWEETWATER",
"state": "TX",
"postal_code": "79556",
"telephone_number": "325-864-9072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8632 FREDERICKSBURG ROAD, STE 212",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78240",
"telephone_number": "210-696-5777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSLEY",
"first_name": "SAUL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1142834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.