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NPISignal

Individual Healthcare Provider

Lanny L Boswell, PHD

NPI Record: ActivePhysical Therapist — Sports
NPI1790835627
San Diego, California

Provider's NPPES record last updated: September 11, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1790835627
Primary Specialty
Physical Therapist — Sports
Practice Location
San Diego, California
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 10:56 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Physical Therapist

    Sports

    Respiratory, Developmental, Rehabilitative and Restorative Service Providers

    Primary

    A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.

    Taxonomy code 2251S0007X
  • Physical Therapist

    Electrophysiology, Clinical

    Respiratory, Developmental, Rehabilitative and Restorative Service Providers

    A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Clinical Electrophysiologic Physical Therapy, who has demonstrated specialized knowledge and skill in electrophysiologic examinations and evaluations and encompasses both the professional and technical components of the observation, recording, analysis, and interpretation of bioelectric muscle and nerve potentials, detected by means of surface or needle electrodes, for the purpose of evaluating the integrity of the neuromuscular system. Electrophysiologic evaluations include, but are not limited to, electrodiagnostic testing, which includes clinical needle electromyography, motor and sensory nerve conduction studies, and other evoked potential procedures.

    Taxonomy code 2251E1300X
  • Physical Therapist

    Orthopedic

    Respiratory, Developmental, Rehabilitative and Restorative Service Providers

    A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

    Taxonomy code 2251X0800X

Provider-Reported License Information

Physical Therapist (California)
PT15984
Physical Therapist (California)
PT15984
Physical Therapist (California)
PT15984
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

2000 Trident Way

San Diego, California 92155-5599

Phone: (619) 437-2361

Record Information

Enumeration Date
January 11, 2007
Provider's NPPES Record Last Updated
September 11, 2025
NPISignal NPPES Dataset
August 2026

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