Nicole Bozzini, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

37370 Issued in FL

Practice address

14934 N Florida Ave
Tampa, FL 33613-1632

Phone

(813) 991-4996

NPI assigned

Apr 20, 2022

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 FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ethos Health Group, LLCGroup PAC ID 6800300401, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Ethos Health Group, LLC

  • Multi-Specialty Clinic/Center
  • Ocala, FL
  • NPI 1982410726
  Medicare reassignment Care Compare group NPD
• Ethos Health Lakeland, LLC

  • Multi-Specialty Clinic/Center
  • Lakeland, FL
  • NPI 1013409598
  NPD

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1770226342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14934 N FLORIDA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14934 N FLORIDA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131632",
            "telephone_number": "813-991-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZZINI",
        "first_name": "NICOLE",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "37370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Conner Bozeman, ARNP
• Kaylei Marie Bozeman
• Klaudija Bozic
• Marie K Bozman, PHARMD
• Ali M. Bozorg, MD
• Joseph Peter Brabham Jr.
• Jim Brace, LCSW
• Brache Dialysis LLC
• Edwin Alberto Bracho Boscan
• Lynsey Bracken, RN

• Physical Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.