Individual provider Active NPI

Catherin Darlene Boskoutch, LPTA 01611

  • Physical Therapy Assistant
  • Olmsted Falls, OH
National Provider Identifier
1992900567
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
LPTA 01611 Issued in OH
Practice address
8931 Forest View Drive
Olmsted Falls, OH 44138
Phone
(440) 293-9000
NPI assigned
Jun 15, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X LPTA 01611 OH Primary

Addresses

Primary practice location

8931 Forest View Drive
Olmsted Falls, OH 44138

Mailing address

8931 Forest View Drive
Olmsted Falls, OH 44138
Phone (440) 293-4526

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

LicenseStateTypeSpecialty
LPTA 01611OHMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992900567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8931 FOREST VIEW DRIVE",
            "city": "OLMSTED FALLS",
            "state": "OH",
            "postal_code": "44138",
            "telephone_number": "440-293-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8931 FOREST VIEW DRIVE",
            "city": "OLMSTED FALLS",
            "state": "OH",
            "postal_code": "44138",
            "telephone_number": "440-293-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSKOUTCH",
        "first_name": "CATHERIN",
        "middle_name": "DARLENE",
        "credential": "LPTA 01611",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "LPTA 01611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olmsted Falls, OH

Sources for this page

  • 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.