Individual provider Active NPI

Isabel K Bosso, DPT

  • Physical Therapist
  • Mount Pleasant, SC
National Provider Identifier
1902232580
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7155 Issued in SC
Practice address
900 Johnnie Dodds Blvd
Mount Pleasant, SC 29464-6130
Phone
(843) 606-1490
Fax
(843) 606-1491
NPI assigned
Sep 16, 2013
Last updated
Feb 6, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7155 SC Primary

Addresses

Primary practice location

900 Johnnie Dodds Blvd
Mount Pleasant, SC 29464-6130

Mailing address

900 Johnnie Dodds Blvd
Mount Pleasant, SC 29464-6130
Phone (843) 606-1490

Other names 1

  • Isabel Kapp Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409002520 WV Practitioner - Physical Therapist in Private Practice 4981839198 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7155SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fayetteville Physical Therapy & Sports Rehabilitation CurrentSince Feb 25, 2024 Accepting new patients

Locations

233 N Court St
Fayetteville, WV 25840
Phone (304) 574-1416

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.

NPI Registry JSON

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1902232580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 JOHNNIE DODDS BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294646130",
            "telephone_number": "843-606-1490",
            "fax_number": "843-606-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 JOHNNIE DODDS BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294646130",
            "telephone_number": "843-606-1490",
            "fax_number": "843-606-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSSO",
        "first_name": "ISABEL",
        "middle_name": "K",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISABEL",
            "last_name": "KAPP",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.