Active NPI
Kelly Marie Bosscher, D.P.T
- Physical Therapist
- Jupiter, FL
National Provider Identifier
1851471965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 22584
- Practice address
- 600 Heritage Dr
Suite 110
Jupiter, FL 33458-3000 - Phone
- (561) 253-8737
- NPI assigned
- Oct 16, 2006
- 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 | PT 22584 | FL | Primary |
Addresses
Primary practice location
600 Heritage Dr
Suite 110
Jupiter, FL 33458-3000
Mailing address
600 Heritage Dr
Suite 110
Jupiter, FL 33458-3000
Phone (561) 253-8737
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 22584 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiocare Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Jupiter, FL
- NPI 1396753026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263859200000",
"number": "1851471965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 HERITAGE DR",
"address_2": "SUITE 110",
"city": "JUPITER",
"state": "FL",
"postal_code": "334583000",
"telephone_number": "561-253-8737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 HERITAGE DR",
"address_2": "SUITE 110",
"city": "JUPITER",
"state": "FL",
"postal_code": "334583000",
"telephone_number": "561-253-8737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSSCHER",
"first_name": "KELLY",
"middle_name": "MARIE",
"credential": "D.P.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2010-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 22584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.