Individual provider Active NPI

Elizabeth Boshears, PT, DPT

  • Physical Therapist
  • Wheat Ridge, CO
National Provider Identifier
1720724180
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0017020 Issued in CO
Practice address
4350 Wadsworth Blvd Ste 425
Wheat Ridge, CO 80033-4652
Phone
(303) 564-1246
NPI assigned
May 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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 PTL.0017020 CO Primary

Addresses

Primary practice location

4350 Wadsworth Blvd Ste 425
Wheat Ridge, CO 80033-4652

Mailing address

11416 W 38TH Ave
Wheat Ridge, CO 80033-3802
Phone (971) 506-3900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220528000025 CO Practitioner - Physical Therapist in Private Practice 3476931734 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0017020COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
J Medical Inc CurrentSince Jun 9, 2022 Accepting new patients
Heights Physical Therapy LLC Physical Therapist CurrentSince Oct 14, 2024 Accepting new patients
J Medical Inc Physical Therapist CurrentSince Jun 9, 2022 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients

Locations

12500 E Iliff Ave
Ste 320
Aurora, CO 80014
Phone (303) 862-8853

12510 E Iliff Ave
Ste 210
Denver, CO 80014
Phone (303) 695-1977

9101 Pearl St
Ste 350
Thornton, CO 80229
Phone (720) 328-1246

4350 Wadsworth Blvd
Ste 425
Wheat Ridge, CO 80033
Phone (303) 238-6575

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1720724180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11416 W 38TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800333802",
            "telephone_number": "971-506-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 WADSWORTH BLVD STE 425",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334652",
            "telephone_number": "303-564-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSHEARS",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0017020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.