Anthony F Boele, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0020123 Issued in CO

Practice address

701 Delaware Ave Unit E
Longmont, CO 80501-6498

Phone

(720) 204-4567

NPI assigned

Sep 6, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Group practices

Crafted Physical Therapy PLLCGroup PAC ID 3779839170, 9 clinicians

Stithem and Johnson Physical Therapy IncGroup PAC ID 7214836600, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Crafted Physical Therapy PLLC

  • Physical Therapist
  • Longmont, CO
  • NPI 1013404714
  Medicare reassignment Care Compare group NPD
• Stithem & Johnson Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Santa Rosa, CA
  • NPI 1831386838
  Care Compare group

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1235964438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 DELAWARE AVE UNIT E",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016498",
            "telephone_number": "720-204-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 DELAWARE AVE UNIT E",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016498",
            "telephone_number": "720-204-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOELE",
        "first_name": "ANTHONY",
        "middle_name": "F",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0020123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Rose Boccia
• Gary Bock, RPH
• Body Affects, LLC
• Bodypoint Medicine
• Brian Edward Boehm, MA, LPC
• Avery Boes
• Ann M Bomberg, LCSW
• Devyn Bonatus, LCSW
• Bond Integrated Health & Wellness, LLC
• Ryan Jon Bond, DMD

• Physical Therapist in Longmont, CO
• Providers in Longmont, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.