Jacqueline Denise Bost, PTA

Primary specialty

SpecialistTaxonomy code 174400000X

License

TE010381 Issued in PA

Practice address

4 Sheraton Dr
Altoona, PA 16601-9316

Phone

(814) 949-2050

Fax

(814) 949-2051

NPI assigned

Jan 9, 2015

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Procare PT LP

  • Physical Therapist
  • Altoona, PA
  • NPI 1811238744
  NPD (past)

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420761600000",
    "number": "1760871016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 WOOD ST",
            "city": "LILLY",
            "state": "PA",
            "postal_code": "159385311",
            "telephone_number": "814-949-2050",
            "fax_number": "814-949-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SHERATON DR",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166019316",
            "telephone_number": "814-949-2050",
            "fax_number": "814-949-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOST",
        "first_name": "JACQUELINE",
        "middle_name": "DENISE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "TE010381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda L Borst, MA CCC SLP
• Jessica Bosak, LSW
• Stephanie Bosak
• Brooke Noelle Bosar, MT-BC
• Boscovs Department Store LLC
• Susan J Boston
• Edmond Bouassaf, M.D.
• Matthew P Bouchard, MD
• Robert Bower, MD
• Anastasia Faith Bowersox, PA-C

• Specialist in Altoona, PA
• Providers in Altoona, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.