Active NPI
Christin Ann Boswell, DPT
- Physical Therapist
- Roswell, NM
National Provider Identifier
1861797987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3913
- Practice address
- 113 E College Blvd
Roswell, NM 88201-5158 - Phone
- (575) 622-6500
- Fax
- (575) 622-9777
- NPI assigned
- Jan 20, 2011
- Last updated
- Jan 23, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 3913 | NM | Primary |
Addresses
Primary practice location
113 E College Blvd
Roswell, NM 88201-5158
Mailing address
113 E College Blvd
Roswell, NM 88201-5158
Phone (575) 622-6500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00902820 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
113 E College Blvd
Roswell, NM 88201-5158
Phone (575) 622-6500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sprint Sports Rehabilitation Inc | Physical Therapist | Current | Accepting new patients |
Locations
113 E College Blvd
Roswell, NM 88201
Phone (505) 622-6500
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Roswell, NM
- NPI 1316974017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1861797987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 E COLLEGE BLVD",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882015158",
"telephone_number": "575-622-6500",
"fax_number": "575-622-9777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 E COLLEGE BLVD",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882015158",
"telephone_number": "575-622-6500",
"fax_number": "575-622-9777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSWELL",
"first_name": "CHRISTIN",
"middle_name": "ANN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-20",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "3913",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00902820",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.