Jennifer L Boden, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501020082 Issued in MI

Practice address

33200 W 14 Mile Rd Ste 160
West Bloomfield, MI 48322-3587

Phone

(248) 538-7607

NPI assigned

Mar 12, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Angul CorpGroup PAC ID 7113434192, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Angul Corp

  • Physical Therapist
  • Mt Pleasant, MI
  • NPI 1346059938
  Medicare reassignment Care Compare group NPD
• Dearborn Physical Therapy LTD.

  • Physical Therapy Clinic/Center
  • West Bloomfield, MI
  • NPI 1285676692

  Physical Therapist

  NPD (past)
• Dearborn Physical Therapy LTD.

  • Physical Therapist
  • Waterford, MI
  • NPI 1316622806
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1134545320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23852 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241829",
            "telephone_number": "248-538-7607",
            "fax_number": "248-538-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33200 W 14 MILE RD STE 160",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223587",
            "telephone_number": "248-538-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODEN",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-12",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023209",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501020082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bloomfield Orchard Acquisition Company, Inc
• Margot Bloomfield, MA, LLP
• Bluemed Care PLLC
• Lori Beth Blumenstein-Bott, MSW
• BMC Pharmacy West Bloomfield, LLC
• Bodie of Love Resident Home Care Agency LLC
• Bodyreformmd
• Erica Boettcher, MA, CCC-SLP
• Boggs P.C
• Lisa Bohra, MD

• Physical Therapist in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.