Susan Elizabeth Bos

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

1054252 Issued in TX

Practice address

8005 Cornerwood Dr
Austin, TX 78717-4927

Phone

(512) 716-1890

Fax

(512) 716-1890

NPI assigned

Jun 14, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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)

Enrolled

State licenses

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922202530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8507 CHAT LN",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786813683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8005 CORNERWOOD DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787174927",
            "telephone_number": "512-716-1890",
            "fax_number": "512-716-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOS",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "TX",
            "license": "1054252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Borowski, PA-C
• Samantha A Borrego Maccallon, LPC
• Marissa Bortenstein, LCSW
• Scott A Boruchow, M.D.
• Christine Elizabeth Borunda
• Joseph S. Bosarge, PH.D
• Christina Nicole Bosco, M.D.
• Nisha Hathi Bose, PT
• Laurel Boshoff
• Teresa Russell Bosiljevac, AUD

• Geriatric Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Geriatric Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.