Jack Bosma, PT, DPT, CSCS
NPI 1558194936 · Physical Therapist · Saint Augustine, FL
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack Bosma, PT, DPT, CSCS is a Physical Therapist provider in Saint Augustine, FL (NPI 1558194936).
Provider details
- NPI number
- 1558194936
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT, CSCS
- Sex
- Male
- Sole proprietor
- No
- License
- 41649 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-08-21
- Last updated
- 2024-08-21
- Certified
- 2024-08-21
Frequently asked questions
- What is Jack Bosma's NPI number?
- Jack Bosma's National Provider Identifier (NPI) is 1558194936, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Bosma's specialty?
- Jack Bosma is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jack Bosma located?
- Jack Bosma's practice location on file with NPPES is 165 Hampton Point Dr, Saint Augustine, FL 32092-3061.
- What is Jack Bosma's phone number?
- The practice phone number listed in the NPPES registry for Jack Bosma is (904) 292-0195.
- Does Jack Bosma accept Medicare?
- Jack Bosma is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jack Bosma's NPI active?
- Yes — Jack Bosma's NPI (1558194936) is active in the NPPES registry as of the last update on 2024-08-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.