Mary Elizabeth Boedeker, DPT
NPI 1780077123ActiveIndividual· Physical Therapist· Belleville, IL
Physical Therapist (DPT) in Belleville, Illinois, licensed in IL and MO, with an NPI issued in March 2015. Medicare paid $28,594 for services to 35 patients in 2024.
Overview
| NPI | 1780077123 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Mar 10, 2015 |
| Last updated in NPPES | Jan 3, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 070.021261 | IL |
| Physical Therapist | 225100000X | 2008013230 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (IL); Practitioner - Physical Therapist in Private Practice (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 35 |
|---|---|
| Services billed | 1,483 across 12 procedure codes |
| Paid by Medicare | $28,594 |
Other Physical Therapist providers in Belleville
- 1063590396
- 1992874416
- 1053308015
- 1689692287
- 1174158802
- 1922314475
- 1932315900
- 1194873364
- 1003940164
- 1285776203
- 1245359116
- 1740452663