Kelsey Boze, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A8986 Issued in LA

Practice address

4405 Airline Dr
Bossier City, LA 71111-2058

Phone

(318) 747-5440

NPI assigned

Oct 30, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1902678238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 MIDDLE CREEK BLVD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 AIRLINE DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112058",
            "telephone_number": "318-747-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZE",
        "first_name": "KELSEY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "LA",
            "license": "A8986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cortlyn Macall Boyd, DO
• Damien Boyd
• Kenneth W Boyd
• Madison Vlahakis Boydstun
• Crystal Boyer, NP-C
• Taylor Curry Bradford, FNP
• Annsley Aaron Bradshaw, PT, DPT
• John Melvin Brady, MD
• Kevin Branch
• Kelly K Brandon, LOTR

• Physical Therapy Assistant in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Physical Therapy Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.