Individual provider Active NPI

Julie Elizabeth Carlisle Bosworth, MSPT

  • Physical Therapist
  • Boston, MA
National Provider Identifier
1407917156
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL17228 Issued in MA
Practice address
15 Parkman St
Wacc 134
Boston, MA 02114-3117
Phone
(617) 724-0125
Fax
(617) 726-2957
NPI assigned
Dec 13, 2006
Last updated
May 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL17228 MA Primary

Addresses

Primary practice location

15 Parkman St
Wacc 134
Boston, MA 02114-3117

Mailing address

15 Parkman St
Wacc 134
Boston, MA 02114-3117
Phone (617) 724-0125

Other names 1

  • Julie Carlisle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070115000132 MA Practitioner - Physical Therapist in Private Practice 2668472739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Orthopedic and Sports TherapyGroup PAC ID 8022922624, 8 clinicians

Practice addresses (Care Compare)

600 Clark Rd
Tewksbury, MA 01876-1699
Phone (978) 452-3453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17228MAMDGeneral Practice Dentistry
PTL17228MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Orthopedic & Sports Therapy Physical Therapist CurrentSince Oct 6, 2020 Accepting new patients
Pro Sports Therapy, Inc. Physical Therapist PastSince Apr 22, 2026 Accepting new patients

Locations

600 Clark Rd
Tewksbury, MA 01876
Phone (978) 452-3453

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1148/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1407917156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PARKMAN ST",
            "address_2": "WACC 134",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143117",
            "telephone_number": "617-724-0125",
            "fax_number": "617-726-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PARKMAN ST",
            "address_2": "WACC 134",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143117",
            "telephone_number": "617-724-0125",
            "fax_number": "617-726-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSWORTH",
        "first_name": "JULIE",
        "middle_name": "ELIZABETH CARLISLE",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL17228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "CARLISLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.