Jack Bosma, PT, DPT, CSCS - Physical Therapist in Saint Augustine, FL

Jack Bosma, PT, DPT, CSCS is a Physical Therapist based in Saint Augustine, Florida. Jack Bosma is licensed to practice in Florida (license number 41649) and his current practice location is 165 Hampton Point Dr, Saint Augustine, Florida. He can be reached at his office (for appointments etc.) via phone at (904) 292-0195.

NPI number for Jack Bosma is 1558194936 and his current mailing address is 1609 Three Oaks Ln, Jacksonville, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558194936.

Contact Information

Jack Bosma, PT, DPT, CSCS
165 Hampton Point Dr,
Saint Augustine, FL 32092-3061
(904) 292-0195
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJack Bosma
GenderMale
SpecialityPhysical Therapist
Location165 Hampton Point Dr, Saint Augustine, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1558194936
  • Provider Enumeration Date: 08/21/2024
  • Last Update Date: 08/21/2024

Medical Identifiers

Medical identifiers for Jack Bosma such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558194936NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 41649 (Florida)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. Jack Bosma 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 AddressPractice Location Address
Jack Bosma, PT, DPT, CSCS
1609 Three Oaks Ln,
Jacksonville, FL 32223-2525

Ph: () -
Jack Bosma, PT, DPT, CSCS
165 Hampton Point Dr,
Saint Augustine, FL 32092-3061

Ph: (904) 292-0195

Reviews and Comments


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