BRYAN ALEX BOSHART (NPI# 1508424821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508424821 |
Entity Type | Individual |
Full Name | BRYAN ALEX BOSHART |
Credential | PT, DPT |
Practice Address |
3501 Yucca Ave Fort Worth TX 76111-4840 |
Practice Telephone | 8329225094 |
Mailing Telephone | 8329225094 |
Enumeration Date | 2019-06-01 |
Last Update Date | 2019-06-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
1315715 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
1315715 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548391204 | Bryan Fulton Boshart | Dentist | 1840 Fm 359 Rd, Richmond, TX 77469-2049 | 2007-03-07 |
Street Address |
3501 YUCCA AVE |
City | FORT WORTH |
State | TX |
Zip Code | 76111-4840 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306330543 | True Rx LLC | Pharmacy | 4045 E Belknap St Ste 10, Haltom City, TX 76111 | 2018-06-20 |
1538656988 | Dc Dental Associates of Fort Worth Pllc | Dentist | 1114 North Beach Street, Fort Worth, TX 76111 | 2018-04-20 |
1417403262 | Shauna Woody | Specialist/Technologist | 1101 Yucca Ave, Fort Worth, TX 76111 | 2016-08-31 |
1285180018 | Eve Investments LLC | Non-emergency Medical Transport (VAN) | 3513 E Belknap St, Fort Worth, TX 76111 | 2016-08-31 |
1851773857 | Mini Apple Dental Enterprise Pllc | Dentist | 911 N Sylvania Ave, #150, Fort Worth, TX 76111 | 2015-06-25 |
1376953471 | Priya Vinothini Colluru | Dentist | 3913, Wheeler's Street, Fort Worth, TX 76111 | 2014-04-29 |
1669737912 | Trinity River Adult Daycare Center, Inc. | Clinic/Center | 401 N Riverside Dr, Fort Worth, TX 76111 | 2012-07-11 |
1649507708 | Vicki Van Mai | Pharmacist | 3809 E. Belknap St., Fort Worth, TX 76111 | 2009-11-11 |
1295972990 | Elite Healthcare Fort Worth | Clinic/Center | 112 N. Beach St., Fort Worth, TX 76111 | 2009-01-16 |
1124234885 | Psychotherapy Services & Yokefellows | Counselor | 159 N. Riverside Dr, Fort Worth, TX 76111 | 2007-05-16 |
Find all providers in zip 76111 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902361470 | Mitchell Glenn Rausch | Physical Therapist | 11751 Alta Vista Rd Ste 301, Fort Worth, TX 76244-6443 | 2019-02-08 |
1881832186 | Kristina Lynch Martin | Physical Therapist | 5950 Bryant Irvin Rd Ste 200, Fort Worth, TX 76132-4230 | 2009-01-26 |
1942814926 | Whitney Goldie Mills | Physical Therapist | 4750 Bryant Irvin Rd N, Fort Worth, TX 76107-7641 | 2020-09-07 |
1790344265 | Jimmy Dale Smith | Physical Therapist | 11751 Alta Vista Rd Ste 301, Fort Worth, TX 76244-6443 | 2019-06-10 |
1104325398 | Laura Record | Physical Therapist | 6407 Southwest Blvd, Fort Worth, TX 76132 | 2018-02-02 |
1720530488 | Icats Medical Consultants LLC | Physical Therapist | 4441 Bryant Irvin Rd N, Fort Worth, TX 76107-7338 | 2016-10-28 |
1871958546 | Aaron Miller | Physical Therapist | 4750 Bryant Irvin Rd N, Fort Worth, TX 76107-7641 | 2015-12-23 |
1457728230 | Premier Rehab Physical Therapy and Aquatics | Physical Therapist | 2720 Western Center Blvd, Suite 312, Fort Worth, TX 76131-4302 | 2015-08-27 |
1184009474 | Cpt Specialty Group LLC | Physical Therapist | 4750 Bryant Irvin Rd N, Fort Worth, TX 76107-7641 | 2015-07-28 |
1215336854 | Zach Sedino | Physical Therapist | 5411 Basswood Blvd Ste 225, Fort Worth, TX 76137-4479 | 2014-08-20 |
Find all providers in FORT WORTH |
City | FORT WORTH |
Zip Code | 76111 |
Please comment or provide details below to improve the information on BRYAN ALEX BOSHART.
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.