KIMBERLY JANEEN BOZART - DOW – Physical Therapist, NPI 1083869283

KIMBERLY JANEEN BOZART - DOW is a healthcare provider. based in Las vegas, Nevada. specializing in Physical Therapist. They hold a License No. 3725 (NV). The NPI Number for KIMBERLY JANEEN BOZART - DOW is 1083869283

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY JANEEN BOZART - DOW
NPI
1083869283
Phone
(702) 876-1733
Address
3831 W CHARLESTON BLVD
Enumeration Date
2 December 2008
Last Update Date
22 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7028761733
Graduation Year
2006 (20 years ago)
PAC ID
9436309978
Group Practice PAC ID
7012980550
Professional Enrollment ID
I20180614003027
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for KIMBERLY JANEEN BOZART - DOW

  • West Charleston Boulevard, 18b Arts District, Las Vegas, Clark County, Nevada, 89104-1307, United States

    LAS VEGAS, NV 891021859

    Phone: (702) 876-1733

    Fax: (702) 878-2018

    Type: Mailing

  • 1550 W CRAIG RD STE 210

    NORTH LAS VEGAS, NV 890320329

    Phone: (702) 360-9142

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-06-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180614003027IPhysical Therapist In Private PracticeNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89102)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012980550View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV

Reviews

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Frequently asked questions

Does KIMBERLY JANEEN BOZART - DOW share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KIMBERLY JANEEN BOZART - DOW uses 1083869283.
Is KIMBERLY JANEEN BOZART - DOW still practicing?
KIMBERLY JANEEN BOZART - DOW is currently listed as active in the public NPI registry.
What taxonomy line describes KIMBERLY JANEEN BOZART - DOW?
For research purposes, treat KIMBERLY JANEEN BOZART - DOW as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect KIMBERLY JANEEN BOZART - DOW on a map?
Expect Las Vegas, Nevada as a primary anchor for KIMBERLY JANEEN BOZART - DOW unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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