Derek Christopher Boss

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

296586 Issued in CA

Practice address

8501 Brimhall Rd Ste 201
Bakersfield, CA 93312-2254

Phone

(661) 679-6238

NPI assigned

May 6, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Montoya Physical Therapy and Wellness PCGroup PAC ID 0345522827, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Montoya Physical Therapy and Wellness PC

  • Physical Therapist
  • Bakersfield, CA
  • NPI 1225582232

  Orthopedic

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1487219390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20171",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933900171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 BRIMHALL RD STE 201",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122254",
            "telephone_number": "661-679-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSS",
        "first_name": "DEREK",
        "middle_name": "CHRISTOPHER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-06",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "296586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Borromeo
• Bortay Dehnadi DDS. Inc
• Aliya Danielle Borunda
• Meredith Boshers
• Francisca Bosley
• Marine Bostandzhyan, M.D.
• Boston Eye Care Advanced Optometric Center, Inc.
• Diana Mirela Botezan, M.D.
• Kiresten Botros
• Bachar Botrus, MD

• Orthopedic Physical Therapist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.