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KELLY BOSSOLA PT
NPI 1811177322
Physical Therapist - Pediatrics in Edwards, CO

Active since November 13, 2007
320 BEARD CREEK RD STE 1100, EDWARDS, CO 81632(970) 569-7777 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Bossola Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY BOSSOLA PT (NPI 1811177322) is an individual pediatrics provider in Edwards, Colorado, licensed in Pennsylvania (PT016522) and active in the NPI registry since November 2007. She maintains a secondary practice location in Vail and is a graduate of Other (2001).

NPPES Registry Identity

NPI1811177322
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameKELLY BOSSOLACredential: PT
Location Address320 BEARD CREEK RD STE 1100Edwards, CO 81632-6433
Mailing AddressPo Box 40000Vail, CO 81658-7520
Phone(970) 569-7777
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateNovember 13, 2007
Last NPPES UpdateNovember 3, 2025
NPPES CertifiedNovember 3, 2025
✔ NPI 1811177322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in PA · PT016522
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
Also ListedPhysical TherapistTaxonomy 225100000X · License PT016522 (PA)
320 BEARD CREEK RD STE 1100, Edwards, CO 81632
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Secondary Practice Location 1

Location 1181 W Meadow DrVail, CO 81657-5242 · Phone (970) 569-7638

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Bossola Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254818487
PECOS Enrollment IDI20260120001563

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VAIL CLINIC INC
Clinic/Center
320 BEARD CREEK RD STE 1100
EDWARDS, CO 81632
Eagle County (970) 569-7777
VAIL CLINIC, INC.
Durable Medical Equipment & Medical Supplies
320 BEARD CREEK RD STE 1100
EDWARDS, CO 81632
Eagle County (970) 476-1225
MRS. SARAH AST M.S., CCC-SLP
Speech-Language Pathologist
320 BEARD CREEK RD STE 1100
EDWARDS, CO 81632
Eagle County (970) 904-5403
DR. LEAH JOANN AUSTRIAN OTD, OTR
Occupational Therapist
320 BEARD CREEK RD STE 1100
EDWARDS, CO 81632
Eagle County (970) 569-7770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Bossola's NPI number?

The NPI number for Kelly Bossola is 1811177322. It was assigned to this individual provider in the NPPES registry on November 13, 2007.

Where is Kelly Bossola located?

Kelly Bossola practices at 320 Beard Creek Rd Ste 1100, Edwards, CO 81632. The listed phone number is (970) 569-7777.

What is Kelly Bossola's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Is Kelly Bossola enrolled in Medicare?

Yes. Kelly Bossola is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Bossola was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.