Active NPI
Nicole Boswell, DPT
- Physical Therapist
- Aventura, FL
National Provider Identifier
1821474834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 32525
- Practice address
- 19333 W Country Club Dr
Aventura, FL 33180-2485 - Phone
- (912) 231-7900
- NPI assigned
- Aug 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 32525 | FL | Primary |
Addresses
Primary practice location
19333 W Country Club Dr
Aventura, FL 33180-2485
Mailing address
10955 SW 159TH CT
Miami, FL 33196-3678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32525 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550880000000",
"number": "1821474834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10955 SW 159TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331963678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19333 W COUNTRY CLUB DR",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331802485",
"telephone_number": "912-231-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSWELL",
"first_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-03",
"last_updated": "2019-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "32525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.