Paula Augustina Kosberg

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2853 Issued in ID

Practice address

390 E Parkcenter Blvd
Suite 130
Boise, ID 83706-6662

Phone

(208) 336-8433

Fax

(208) 336-8441

NPI assigned

Jun 17, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Paula K PT LLC

  • Physical Therapy Clinic/Center
  • Garden City, ID
  • NPI 1417792235
  NPD Authorized official
• Peregrine Physical Therapy LLC

  • Physical Therapist
  • Boise, ID
  • NPI 1942128137
  NPD (past)
• Therapeutic Associates Inc

  • Physical Therapist
  • Boise, ID
  • NPI 1326024472
  NPD (past)
• Therapeutic Associates Inc

  • Physical Therapist
  • Bothell, WA
  • NPI 1114376563
  NPD (past)
• Therapeutic Associates Inc

  • Physical Therapist
  • Portland, OR
  • NPI 1144042649
  NPD (past)
• Therapeutic Associates Inc

  • Physical Therapist
  • Portland, OR
  • NPI 1700862000
  NPD (past)

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1770878779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11481 SW HALL BLVD",
            "address_2": "SUITE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238403",
            "telephone_number": "800-219-8835",
            "fax_number": "503-639-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 E PARKCENTER BLVD",
            "address_2": "SUITE 130",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066662",
            "telephone_number": "208-336-8433",
            "fax_number": "208-336-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSBERG",
        "first_name": "PAULA",
        "middle_name": "AUGUSTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-17",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "2853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770878779",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert L Korn, MD
• Lee M Kornfield, MD
• Elizabeth Kornkven, DPT
• Ruth Onita Kornmueller, CRNA
• Korth B. Elliott, DDS
• Michael F Koszalka Jr., MD
• Tom Eiji Koto Jr., ATC
• Gina Marie Kovac, RN
• Trista Manon Kovach, LCPC
• Amanda M Kovacs

• Physical Therapist in Boise, ID
• Providers in Boise, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.