Jack Bosma, PT, DPT, CSCS

Physical Therapist · Saint Augustine, FL

Individual Active NPI

NPI number 1558194936

Practice location

165 Hampton Point Dr
Saint Augustine, FL 32092-3061
Phone
(904) 292-0195

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NPI record

NPI
1558194936
Entity type
Individual (Type 1)
Enumeration date
August 21, 2024
Last updated
August 21, 2024
Certified
August 21, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 41649 FL

Mailing address

1609 Three Oaks Ln
Jacksonville, FL 32223-2525

About Jack Bosma

Jack Bosma, PT, DPT, CSCS is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 165 Hampton Point Dr, Saint Augustine, FL 32092-3061. The NPI number 1558194936 was assigned on August 21, 2024 and the record was last updated on August 21, 2024.

Jack Bosma lists a license in the registry: #41649 (FL) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jack Bosma, PT, DPT, CSCS?

The NPI number is 1558194936.

What is the phone number of Jack Bosma?

The phone number listed for the practice location is (904) 292-0195.

Where is Jack Bosma located?

165 Hampton Point Dr, Saint Augustine, FL 32092-3061.

What is the taxonomy code for Jack Bosma?

The primary taxonomy code is 225100000X – Physical Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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