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NPI 1144985888ActiveIndividual· Physical Therapist· Columbia, MO
Physical Therapist with Boone Physician Services LLC and 1 other group, practicing in Columbia, Missouri. Medicare paid $31,299 for services to 62 patients in 2024.
Overview
| NPI | 1144985888 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Nov 8, 2021 |
| Last updated in NPPES | Apr 24, 2025 |
| Certified by provider | Apr 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2021044993 | MO |
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 (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 62 |
|---|---|
| Services billed | 1,628 across 9 procedure codes |
| Paid by Medicare | $31,299 |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Boone Physician Services LLCColumbia, MO · 250 clinicians
- Central Missouri Physical Therapy LLCColumbia, MO · 62 clinicians
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All 143 physical therapists in Columbia · All physical therapists in Missouri