Brenda Bosman

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA1797 Issued in FL

Practice address

1555 S Federal Hwy
Bay 12&13
Fort Lauderdale, FL 33316-2686

Phone

(954) 462-6005

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457460685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 NE 15TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333053260",
            "telephone_number": "954-563-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 S FEDERAL HWY",
            "address_2": "BAY 12&13",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162686",
            "telephone_number": "954-462-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSMAN",
        "first_name": "BRENDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA1797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "PTA1797",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisaine Borges, PHARMD
• Nina Boria
• Born Diagnostics, LLC
• Matthew J Borowski, CRNA
• Marta E Bosch, RPT
• Bruce Bostom, PHYSICIANS ASSISTANT
• Boston Medical Group, Inc.
• Samantha Both, MS
• Vlaicu Alin Botoman, MD
• Mera Botros

• Physical Therapy Assistant in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Physical Therapy Assistant in Florida

• 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.

Verify at the official NPI Registry.