- Practice location
- 10 Brentwood Dr, Ithaca, NY 14850-1865
- Phone
- 607-274-4159
- Fax
- 607-274-4675
- Last updated
- December 21, 2022
Kristopher M Bosela is a Physical Medicine & Rehabilitation based in Ithaca, NY. Kristopher M Bosela practices in Ithaca, NY and has the professional credentials of PT, DPT, OCS. The NPI Number for Kristopher M Bosela is 1730652967 and holds a License No. 044036 (NY). The current practice location address for Kristopher M Bosela is 10 Brentwood Dr, Ithaca, NY 14850-1865 and can be reached out via phone at 607-274-4159 and via fax at 607-274-4675.
Provider Profile Details
- NPI Number
- 1730652967
- Provider Name
- Kristopher M Bosela
- Credential
- PT, DPT, OCS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 10 Brentwood Dr, Ithaca, NY 14850-1865
- Phone Number
- 607-274-4159
- Fax Number
- 607-274-4675
- Primary Taxonomy
- Physical Medicine & Rehabilitation · 208100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 10, 2019
- Last Update Date
- December 21, 2022
- Certification Date
- December 21, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 Brentwood Dr
Ithaca, NY 14850-1865 - City
- Ithaca
- State
- New York
- Zip
- 14850-1865
- Phone Number
- 607-274-4159
- Fax Number
- 607-274-4675
Provider Business Mailing Address Details
- Address
- 112 Etna RD
Lebanon, NH 03766-1559 - City
- Lebanon
- State
- NH
- Zip
- 03766-1559
- Phone Number
- 603-643-7788
- Fax Number
- 603-643-0022
License Information
- Taxonomy (1)
- Physical Therapist, Orthopedic · 2251X0800X
- License Number (2)
- 044036
- License State (2)
- NY
- Taxonomy (2)
- Physical Medicine & Rehabilitation · 208100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Kristopher M Bosela, PT, DPT, OCS?
The NPI number of Dr. Kristopher M Bosela, PT, DPT, OCS is 1730652967. It was assigned on January 10, 2019 and is currently active in the NPPES registry.
What is the specialty of Dr. Kristopher M Bosela, PT, DPT, OCS?
Dr. Kristopher M Bosela, PT, DPT, OCS is registered under the primary taxonomy Physical Medicine & Rehabilitation (code 208100000X), licensed in NY under license number 044036.
Where does Dr. Kristopher M Bosela, PT, DPT, OCS practice?
The practice location is 10 Brentwood Dr, Ithaca, NY 14850-1865. The office can be reached at 607-274-4159 (phone) or 607-274-4675 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730652967 directly on the NPPES registry website.