Lanny L Boswell, PHD

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

PT15984 Issued in CA

Practice address

2000 Trident Way
San Diego, CA 92155-5599

Phone

(619) 437-2361

Fax

(619) 437-3197

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1790835627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 TRIDENT WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921555599",
            "telephone_number": "619-437-2361",
            "fax_number": "619-437-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 TRIDENT WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921555599",
            "telephone_number": "619-437-2361",
            "fax_number": "619-437-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSWELL",
        "first_name": "LANNY",
        "middle_name": "L",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "CA",
            "license": "PT15984",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "PT15984",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT15984",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Anne Bostock, MOT, OTR/L
• Boston Medical Group California, L.L.C.
• Gilbert Erich Boswell, M.D.
• Hannah Boswell
• James Darnell Boswell
• Michelle Koren Boswell, PH.D., HSPP
• Nidia Boswell
• Sara Lynn Boswell, PH.D.
• Bosworth, Inc a Dental Corporation
• Yolanda Botani

• Sports Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Sports Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.