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Jordan Boehning

NPI 1780461707ActiveIndividual· Physical Therapist· La Mesa, CA

Physical Therapist in La Mesa, California, with an NPI issued in September 2023. Medicare paid $17,950 for services to 45 patients in 2024.

Overview

NPI1780461707
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedSep 12, 2023
Last updated in NPPESSep 12, 2023
Certified by providerSep 12, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients45
Services billed783 across 4 procedure codes
Paid by Medicare$17,950

Medicare sources and data years

Other physical therapists in La Mesa

All 119 physical therapists in La Mesa · All physical therapists in California