Active NPI
Susan Bozeman
- Physical Therapy Assistant
- Greenwood Village, CO
National Provider Identifier
1881001931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 0012775
- Practice address
- 8301 E Prentice Ave
Suite 207
Greenwood Village, CO 80111-2903 - Phone
- (303) 322-8300
- Fax
- (303) 320-3823
- NPI assigned
- Jul 21, 2014
- Last updated
- Jul 21, 2014
- 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 Therapy Assistant | 225200000X | 0012775 | CO | Primary |
Addresses
Primary practice location
8301 E Prentice Ave
Suite 207
Greenwood Village, CO 80111-2903
Mailing address
1002 Apple Valley Rd
Lyons, CO 80540-9030
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 |
|---|---|---|---|
| 0012775 | CO | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405900800000",
"number": "1881001931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 APPLE VALLEY RD",
"city": "LYONS",
"state": "CO",
"postal_code": "805409030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8301 E PRENTICE AVE",
"address_2": "SUITE 207",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801112903",
"telephone_number": "303-322-8300",
"fax_number": "303-320-3823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOZEMAN",
"first_name": "SUSAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-21",
"last_updated": "2014-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CO",
"license": "0012775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood Village, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.