Active NPI
Ericka Boeger, PT, DPT
- Physical Therapist
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 033727
- Practice address
- 3961 E Guadalupe Rd Ste 1
Gilbert, AZ 85234-3266 - Phone
- (480) 699-4845
- NPI assigned
- Aug 9, 2024
- Last updated
- Aug 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 033727 | AZ | Primary |
Addresses
Primary practice location
3961 E Guadalupe Rd Ste 1
Gilbert, AZ 85234-3266
Mailing address
702 E Secretariat Dr
Tempe, AZ 85284-1451
Phone (480) 202-6665
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3961 E Guadalupe Rd
Suite 1
Gilbert, AZ 85234-3266
Phone (480) 699-4845
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033727 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Neurologic Rehabilitation | Current | Accepting new patients | |
| Advanced Neurologic Rehabilitation | Past | Accepting new patients |
Locations
3160 N Arizona Ave
Ste 106
Chandler, AZ 85225
Phone (480) 699-4845
3961 E Guadalupe Rd
Ste 1
Gilbert, AZ 85234
Phone (480) 699-4845
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Chandler, AZ
- NPI 1922482017
-
- Rehabilitation Clinic/Center
- Gilbert, AZ
- NPI 1518688746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1174354328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 E SECRETARIAT DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852841451",
"telephone_number": "480-202-6665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3961 E GUADALUPE RD STE 1",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852343266",
"telephone_number": "480-699-4845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOEGER",
"first_name": "ERICKA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-09",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "033727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.