Dr Kristopher M Bosela, PT, DPT, OCS is a
Physical Medicine & Rehabilitation based in Ithaca, New York. Dr Kristopher M Bosela is licensed to practice in New York (license number 044036) and his current practice location is
10 Brentwood Dr, Ithaca, New York. He can be reached at his office (for appointments etc.) via phone at
(607) 274-4159.
NPI number for Dr Kristopher M Bosela is 1730652967 and his current mailing address is 112 Etna Rd, Lebanon, New Hampshire. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730652967.
Healthcare Provider's Profile
| Full Name | Dr Kristopher M Bosela |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 10 Brentwood Dr, Ithaca, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1730652967
- Provider Enumeration Date: 01/10/2019
- Last Update Date: 12/21/2022
Medical Identifiers
Medical identifiers for Dr Kristopher M Bosela such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730652967 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 044036 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kristopher M Bosela is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kristopher M Bosela, PT, DPT, OCS
112 Etna Rd,
Lebanon, NH 03766-1559
Ph: (603) 643-7788 | Dr Kristopher M Bosela, PT, DPT, OCS
10 Brentwood Dr,
Ithaca, NY 14850-1865
Ph: (607) 274-4159 |
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