DR. KRISTOPHER M BOSELA (NPI# 1730652967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730652967 |
| Entity Type | Individual |
| Full Name | DR. KRISTOPHER M BOSELA |
| Credential | PT, DPT |
| Practice Address |
112 Etna Rd Lebanon NH 03766-1559 |
| Practice Telephone | 6036437788 |
| Practice Fax Number | 6036430022 |
| Mailing Telephone | 6036437788 |
| Mailing Fax Number | 6036430022 |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2020-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 310 Taughannock Blvd Ste 5a, Ithaca, NY 148503251 | 6072533500 |
| Street Address |
112 ETNA RD |
| City | LEBANON |
| State | NH |
| Zip Code | 03766-1559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396766812 | Marsha R Wykes | Physical Therapist | 112 Etna Rd, Lebanon, NH 03766-1454 | 2006-07-21 |
| 1720685621 | Howard Badillo | Physical Therapist | 112 Etna Rd, Lebanon, NH 03766-1559 | 2020-10-04 |
| 1275016198 | Taylor Daley | Physical Therapist | 112 Etna Rd, Lebanon, NH 03766-1454 | 2018-09-07 |
| 1154809069 | Justin Walker | Physical Therapist | 112 Etna Rd, Lebanon, NH 03766-1454 | 2018-08-02 |
| 1316424112 | Joseph Soojian | Physical Therapist | 112 Etna Rd, Lebanon, NH 03766-1559 | 2018-07-24 |
| 1013430230 | Kathleen Barnes | Physical Therapist | 112 Etna Rd, Lebanon, NH 03766-1454 | 2017-07-19 |
| 1659816577 | Emily Milbank | Physical Therapist | 112 Etna Rd, Lebanon, NH 03766-1454 | 2017-01-02 |
| 1356798706 | Zachary Gardner | Physical Therapist | 112 Etna Rd, Lebanon, NH 03766-1454 | 2016-05-16 |
| 1174999833 | Andrew Casey | Physical Therapist | 112 Etna Rd, Lebanon, NH 03766-1454 | 2015-08-18 |
| 1366859563 | Marissa Reilly | Physical Therapist | 112 Etna Rd, Lebanon, NH 03766-1454 | 2014-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033580345 | Leah E Abrahamsen | Social Worker | 85 Mechanic Street Suite 3b-1, Dartmouth Hitchcock - Psychiatry, Lebanon, NH 03766 | 2015-10-13 |
| 1871982801 | Steps Opioid Addiction Treatment | Clinic/Center | 1 Glen Road, Suite 216, Lebanon, NH 03766 | 2015-01-14 |
| 1811282288 | Lisa Golden Morse | Occupational Therapist | 23 Mahon St, Lebanon, NH 03766 | 2011-06-14 |
| 1750607131 | Timothy Joseph Lin | Orthopaedic Surgery | 1 Medical Center Drive Orthopaedics, Lebanon, NH 03766 | 2010-04-11 |
| 1457673857 | Melanie A Baker | Dental Hygienist | One Court Street, Suite 270, Lebanon, NH 03766 | 2010-02-26 |
| 1568613073 | Peter Keith Isquith | Clinical Neuropsychologist | 367 Route 120 Unit B1, Hanover Road Professional Center, Lebanon, NH 03766 | 2008-10-02 |
| 1235317512 | Leslie Sudak | Speech-Language Pathologist | 10 Mascoma St, Lebanon, NH 03766 | 2008-02-08 |
| 1891973269 | Dc Whitfield | Nurse Practitioner | 20 W Park St Ste 418, Lebanon, NH 03766 | 2008-02-07 |
| 1588879951 | Charles R Meyers | Acupuncturist | 2 Whipple Place, Lebanon, NH 03766 | 2007-05-11 |
| 1285859686 | Thomas A Johnston | Dentist | 206 Heater Road, Lebanon, NH 03766 | 2007-04-13 |
| Find all providers in zip 03766 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275927 | Jacob Robert Cottingim | Physical Therapist | 585 N State Route 741, Lebanon, OH 45036-3313 | 2020-11-03 |
| 1841309440 | Rebecca N Moore | Physical Therapist | 100 Physicians Way, Suite 230, Lebanon, TN 37090-8102 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841848660 | Louis Salzberg | Physical Therapist | 255 West St Ste 6, Keene, NH 03431-2429 | 2019-08-27 |
| 1801369673 | Kathryn Rae Key | Physical Therapist | 9 Washington Pl Ste 101, Bedford, NH 03110-6750 | 2019-01-04 |
| 1952892069 | Keith A Waddell | Physical Therapist | 40 S River Rd Unit 58, Bedford, NH 03110-6751 | 2018-05-24 |
| 1780191601 | Cornerstone Pt Associates,llc | Physical Therapist | 64 Freetown Rd Ste 3, Raymond, NH 03077-2356 | 2017-12-30 |
| 1417404138 | Margaret Donovan | Physical Therapist | 12 W Lull Pl, New Boston, NH 03070-3521 | 2016-09-10 |
| 1063810455 | Slopeside Physical Therapy | Physical Therapist | 1 Skimobile Rd, North Conway, NH 03860-5364 | 2014-12-17 |
| 1558775841 | Andrea Mulder | Physical Therapist | 118 Portsmouth Ave Ste A1a, Stratham, NH 03885-4415 | 2014-06-16 |
| 1346513934 | Michele Fox | Physical Therapist | 32 Indian Rock Rd #5, Windham, NH 03087 | 2012-02-14 |
| 1962703439 | Powers Physical Therapy, LLC | Physical Therapist | 1247 Washington Rd Ste 28, Rye, NH 03870-2345 | 2010-11-15 |
| 1952612517 | Steven J Mann | Physical Therapist | 45 Lyme Road, Suite 101, Hanover, NH 03755 | 2010-06-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.