Terese Boeder

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

OTP-OT-LIC-3253 Issued in MT

Practice address

310 Sunnyview LN
Kalispell, MT 59901-3129

Phone

(406) 751-6444

NPI assigned

Apr 16, 2015

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1265829220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 FLY WAY",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 SUNNYVIEW LN",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013129",
            "telephone_number": "406-751-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEDER",
        "first_name": "TERESE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MT",
            "license": "OTP-OT-LIC-3253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bluebird Health Imaging, PLLC
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• Gabor Bodonyi-Kovacs, MD
• Susan E Bodurtha, RN, CNS
• Body Balance Health and Wellness Clinic LLC
• William M Boehme, MD
• Michael George Boharski, M.D.
• Alexander Bokor, MD
• Jenna Mae Boles, LAC
• Jillian Marie Boll, RN

• Physical Rehabilitation Occupational Therapist in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Physical Rehabilitation Occupational Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.