Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jerald Douglas Bozeman Jr., PT

Individual provider Physical Therapist · NPI 1821138827

Mr. Jerald Douglas Bozeman Jr., PT is a Physical Therapist in Wichita, Kansas. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

750 N Socora
Wichita, KS 67212
Phone: (316) 462-2273
Fax: (316) 462-2276
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11-032675 (KS)

Record details

NPI number1821138827
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedFebruary 7, 2007
Last updated in NPPESJuly 8, 2007

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