Elizabeth Z Bozlee, P.T.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT1109 Issued in MS

Practice address

14478 Aerie Rd
Gulfport, MS 39503

Phone

(228) 617-4034

Fax

(228) 831-8177

NPI assigned

Oct 11, 2006

Last updated

Jun 29, 2018By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Prosthetic Solutions Inc.

  • Prosthetic/Orthotic Supplier
  • Gulfport, MS
  • NPI 1306366752
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1780772871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14478 AERIE RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395038111",
            "telephone_number": "228-617-4034",
            "fax_number": "228-831-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14478 AERIE RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "39503",
            "telephone_number": "228-617-4034",
            "fax_number": "228-831-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZLEE",
        "first_name": "ELIZABETH",
        "middle_name": "Z",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MS",
            "license": "PT1109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02354712",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Logan Tyler Boutwell, MD
• Caleb Brennan Bowen, DO
• Bradley Boyd
• Jill Boyer
• Bozlee Physical Therapy LLC
• Blakley J Brackett, AGACNP
• Wendy Bradford
• Shannon Deirdre Bradley, LCSW
• Ashlie Bradshaw
• Cory Fury Brainard, OT

• Physical Medicine & Rehabilitation Physician in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Physical Medicine & Rehabilitation Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.