NPIMap

Organization Active NPI

Joseph Boehm, P.T.

Doing business as Los Osos Physical Therapy

  • Physical Therapist
  • Los Osos, CA
National Provider Identifier
1902899875
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
JOSEPH BOEHM, P.T.
Doing business as
Los Osos Physical Therapy
Practice address
2115 10TH St
Suite B
Los Osos, CA 93402-3244
Phone
(805) 528-3002
Fax
(805) 528-5341
NPI assigned
Aug 25, 2005
Last updated
Sep 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

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

Authorized official

Name
Mr. Joseph Boehm, P.T.NPI 1740273606
Title
Owner
Phone
(805) 528-3002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2115 10TH St
Suite B
Los Osos, CA 93402-3244

Mailing address

2115 10TH St
Suite B
Los Osos, CA 93402-3244
Phone (805) 528-3002

Other names 1

  • Los Osos Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

2115 10th St
Ste B
Los Osos, CA 93402
Phone (805) 235-4150

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1902899875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 10TH ST",
            "address_2": "SUITE B",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934023244",
            "telephone_number": "805-528-3002",
            "fax_number": "805-528-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 10TH ST",
            "address_2": "SUITE B",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934023244",
            "telephone_number": "805-528-3002",
            "fax_number": "805-528-5341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH BOEHM, P.T.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-25",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "BOEHM",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-528-3002",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Osos Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Osos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.