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Dr. Jack Bosma , PT, DPT, CSCS

Physical Therapist β€’ Saint Augustine, FL

Active NPI 1558194936 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

165 Hampton Point Dr
Saint Augustine, FL 320923061

Call 9042920195 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

165 Hampton Point Dr

Saint Augustine, FL 320923061

Telephone 9042920195
Organization at the Same NPPES Address or Phone
Atlas Physical Therapy & Sports Medicine Inc Facility NPI 1184214546

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Atlas Physical Therapy And Sports Medicine Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2024

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Bosma has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Saint Augustine and Florida

77 active clinicians are listed under Physical Therapist with a practice address in Saint Augustine, FL (14,439 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Saint Augustine

0% of these 77 clinicians have the CMS telehealth indicator.

33.8% of these 77 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-21
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

License # reported to NPPES FL 41649

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE

Medicare Enrollment ID

I20241203004461

Enrollment State Jurisdiction

FL

PECOS Control ID

8325574130

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Atlas Physical Therapy And Sports Medicine Inc

165 Hampton Point Dr, St Augustine, FL 320923062

Phone: 9044290290

Atlas Physical Therapy And Sports Medicine Inc

12421 San Jose Blvd, Jacksonville, FL 322238662

Phone: 9042920195

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

11 listed
NPI 1588691034

MPTATC, L

Dr. Deyoung Don , PT, DPT

Physical Therapist

NPI 1144995325

Physical Therapist, Doctor of Physical Therapy

Benjamin Evans

Physical Therapist

NPI 1215392519
Michelle Feldhaus , MSPT

Physical Therapist

NPI 1396941183

Master of Science in Physical Therapy

Dr. Thomas Gormely , DPT

Physical Therapist

NPI 1942724711

Doctor of Physical Therapy

NPI 1194492751

Physical Therapist, Doctor of Physical Therapy, Certified Strength and Conditioning Specialist

Career & Practice History

NPI enumerated August 21, 2024.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from September 2024 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1558194936
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2024
Last Update: August 21, 2024
Sole Proprietor: No

Other Physical Therapists in Saint Augustine

All Physical Therapists in Saint Augustine

Mailing Address

1609 Three Oaks Ln

Jacksonville, FL 322232525

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.