Meredith Bossinger, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

033095 Issued in NY

Practice address

830 Washington St
Watertown, NY 13601-4034

Phone

(315) 785-4088

NPI assigned

Oct 21, 2010

Last updated

Apr 18, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Coast Audiology and Physical Therapy PLLCGroup PAC ID 8820488547, 14 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• East Coast Audiology and Physical Therapy, PLLC

  • Physical Therapist
  • Watertown, NY
  • NPI 1376048652
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1649570888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 PUBLIC SQ",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012174",
            "telephone_number": "315-785-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 WASHINGTON ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014034",
            "telephone_number": "315-785-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSSINGER",
        "first_name": "MEREDITH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-21",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lynne Booras
• Deanna Marie Booth, LPN
• Kathy Booth, LPN
• Margaret Lillie Bootie, SPEECH THERAPIST
• Leela Krishna Teja Boppana, MBBS
• Stephanie Boswell-Davies, MIDWIFE
• Kaleigh Boulio-Alberry
• Amber Boulrice, RN
• Michelle Lynne Boulton, RPA-C
• Kellie Lynn Bowhall, LPN

• Physical Therapist in Watertown, NY
• Providers in Watertown, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.