Bosque River Physical Therapy and Rehabilitation Limited Partnership – Physical Therapy Clinic/Center, NPI 1114942224
Physical Therapy Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Bosque River Physical Therapy and Rehabilitation Limited Partnership
PO BOX 932184
ATLANTA, GA 311932184
Phone:
Type: Mailing
275 W CAMPBELL RD STE 300
RICHARDSON, TX 750803560
Phone: (800) 699-9395
Type: Location
484 RIVERSIDE AVE
JACKSONVILLE, FL 322024912
Phone: (800) 699-9395
Type: Mailing
1200 RICHLAND DR STE G
WACO, TX 767108001
Phone: (254) 217-8333
Fax: (254) 172-8616
Type: Location
554, Kingsley Avenue, Orange Park, Clay County, Florida, 32073, United States
ORANGE PARK, FL 320734830
Phone: (904) 944-4063
Fax: (904) 944-4063
Type: Mailing
Smoke & Ash Smoke Shop, 1200, Richland Drive, Waco, McLennan County, Texas, 76710, United States
SUITE G
WACO, TX 767108008
Phone: (254) 217-8333
Fax: (254) 172-8616
Type: Location
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: 2025-05-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20101110001448 | O | Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | TX | TBD |
| O20250516001505 | O | Physical/Occupational Therapy Group In Private Practice | TX | TBD |
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.
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 31193)
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