Active NPI
Emily J Boswell, DPT
- Physical Therapist
- Bettendorf, IA
National Provider Identifier
1942444567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004555
- Practice address
- 3740 Utica Ridge Rd
Suite 4
Bettendorf, IA 52722-1657 - Phone
- (563) 327-0132
- Fax
- (563) 359-5642
- NPI assigned
- Apr 27, 2009
- Last updated
- Jul 25, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-015984 | IL | |
| Physical Therapist | 225100000X | 004555 | IA | Primary |
Addresses
Primary practice location
3740 Utica Ridge Rd
Suite 4
Bettendorf, IA 52722-1657
Mailing address
PO Box 3488
Davenport, IA 52808-3488
Phone (563) 327-0132
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4832001 | Other | IL | BLUE CROSS BLUE SHIELD OF IL |
| 14-6672 | Other | IL | MEDICARE PART A |
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 |
|---|---|---|---|
| 004555 | IA | MD | Physical Therapist |
| 070-015984 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343174400000",
"number": "1942444567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3488",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528083488",
"telephone_number": "563-327-0132",
"fax_number": "563-359-5642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3740 UTICA RIDGE RD",
"address_2": "SUITE 4",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527221657",
"telephone_number": "563-327-0132",
"fax_number": "563-359-5642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSWELL",
"first_name": "EMILY",
"middle_name": "J",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-27",
"last_updated": "2012-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-015984",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "004555",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF IL",
"identifier": "4832001",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PART A",
"identifier": "14-6672",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bettendorf, IA
- Beth Bly, PTA
- Board of Trustees Grand Charity Fund Grand Lodge of Iowa a F & a M (Iowa Masonic Health Facilities)
- Julie Kay Williams Bockenstedt, PHD, LISW, LCSW
- Body Alignment Center
- Regina Charlotte Bollaert, NP
- Cole Bousselot, DDS
- Geoffrey Kevan Bowman, M.D.
- Braaten Health LLC
- Braaten Health LLC Dba Midwest Therapy Center
- Braaten Health LLC Dba Midwest Therapy Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.