Individual provider Active NPI

Nicholas Paul Boswell, DPT, PT

  • Physical Therapist
  • Watsonville, CA
National Provider Identifier
1396384368
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014428 Issued in GA
Practice address
20 Ohlone Pkwy Ste D
Watsonville, CA 95076-3767
Phone
(831) 724-8235
NPI assigned
Dec 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 307529 CA
Physical Therapist 225100000X 15372 TN
Physical Therapist 225100000X SC
Physical Therapist 225100000X WA
Physical Therapist 225100000X PT014428 GA Primary

Addresses

Primary practice location

20 Ohlone Pkwy Ste D
Watsonville, CA 95076-3767

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

3045 Kate Bond Rd
Bartlett, TN 38133-4004
Phone (901) 937-3200

Other practice location 2

2650 Saint Matthews Rd
Orangeburg, SC 29118-1344
Phone (803) 536-5509

Other practice location 3

5605 100th St SW Ste B
Lakewood, WA 98499-2710
Phone (253) 284-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MD, SC, WA, CA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20200220003104 GA Practitioner - Physical Therapist in Private Practice 8426485061 Reassigns benefits to 3 organizations
I20230523000013 MD Practitioner - Physical Therapist in Private Practice 8426485061 Reassigns benefits to 1 organization
I20240315000325 SC Practitioner - Physical Therapist in Private Practice 8426485061 Reassigns benefits to 1 organization
I20240809003522 WA Practitioner - Physical Therapist in Private Practice 8426485061 Reassigns benefits to 2 organizations
I20250702000883 CA Practitioner - Physical Therapist in Private Practice 8426485061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
90
Improvement activities
40
Cost
75.04

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
88.06
Improvement activities
40
Cost
76.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
307529CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist CurrentSince Dec 30, 2019 Accepting new patients
Select Cal Physical Therapy PC CurrentSince Mar 26, 2025 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Feb 5, 2024 Accepting new patients
Select Cal Physical Therapy PC Physical Therapist Current Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist Current Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Apr 3, 2023 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Apr 3, 2023 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jun 15, 2020 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Feb 5, 2024 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC CurrentSince Jun 15, 2020 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Jun 15, 2020 Accepting new patients
Highline Physical Therapy Group Physical Therapist CurrentSince Dec 23, 2024 Accepting new patients
Select Cal Physical Therapy PC Physical Therapist CurrentSince Mar 26, 2025 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist CurrentSince Dec 30, 2019 Accepting new patients
Highline Physical Therapy Group Physical Therapist CurrentSince Dec 23, 2024 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Jun 15, 2020 Accepting new patients
Dekalb Comprehensive Physical Therapy Limited Partnership PastSince Aug 1, 2021 Accepting new patients
MSK Group PC Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

929 Pacific St
Monterey, CA 93940
Phone (831) 373-1209

20 Ohlone Pkwy
Ste D
Watsonville, CA 95076
Phone (831) 724-8235

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

2045 Centre Stone Ct
Ste B
Columbus, GA 31904
Phone (706) 257-4189

1820 Highway 20 SE
Ste 160
Conyers, GA 30013
Phone (770) 922-9222

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

1000 Johnson Ferry Rd
Ste A115
Marietta, GA 30068
Phone (404) 367-2085

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

9512 Harford Rd
Ste 3
Parkville, MD 21234
Phone (410) 882-3010

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

2650 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 536-5509

16259 Sylvester Rd SW
Burien, WA 98166
Phone (206) 241-5400

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

5605 100th St SW
Ste B
Lakewood, WA 98499
Phone (253) 284-9800

1215 N McDonald Rd
Ste 102
Spokane Valley, WA 99216
Phone (509) 319-2029

13050 Military Rd S
Tukwila, WA 98168
Phone (206) 248-3080

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1396384368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 OHLONE PKWY STE D",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763767",
            "telephone_number": "831-724-8235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3045 Kate Bond Rd",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TN",
            "postal_code": "381334004",
            "country_code": "US",
            "telephone_number": "901-937-3200",
            "fax_number": "901-383-1738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2650 Saint Matthews Rd",
            "address_purpose": "LOCATION",
            "city": "Orangeburg",
            "state": "SC",
            "postal_code": "291181344",
            "country_code": "US",
            "telephone_number": "803-536-5509",
            "fax_number": "803-536-4104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5605 100th St SW Ste B",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WA",
            "postal_code": "984992710",
            "country_code": "US",
            "telephone_number": "253-284-9800",
            "fax_number": "253-284-9801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSWELL",
        "first_name": "NICHOLAS",
        "middle_name": "PAUL",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-23",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "307529",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "15372",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsonville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.