Kelly E. Boehmler, PT
NPI 1023351103ActiveIndividual· Physical Therapist· Annapolis, MD
Physical Therapist (PT) with Breakaway Physical Therapy, LLC, practicing in Annapolis, Maryland. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1023351103 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Mar 27, 2013 |
| Last updated in NPPES | Feb 15, 2026 |
| Certified by provider | Feb 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 25990 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MD) |
|---|
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Breakaway Physical Therapy, LLCCrofton, MD · 5 clinicians
Other physical therapists in Annapolis
- 1003064627
- 1013228865
- 1013770213
- 1023010857
- 1023880002
- 1043217524
- 1043314503
- 1043664493
- 1053430009
- 1053516468
- 1063015774
- 1073284543
All 245 physical therapists in Annapolis · All physical therapists in Maryland