Individual provider Active NPI

Chance Lawrence Boesch, DPT

  • Physical Therapist
  • Norfolk, NE
National Provider Identifier
1285999664
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3096 Issued in NE
Practice address
3901 W Norfolk Ave Ste P
Norfolk, NE 68701-4405
Phone
(402) 371-9026
Fax
(402) 371-0807
NPI assigned
Jul 11, 2012
Last updated
Oct 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3096 NE Primary

Addresses

Primary practice location

3901 W Norfolk Ave Ste P
Norfolk, NE 68701-4405

Mailing address

3901 W Norfolk Ave Ste P
Norfolk, NE 68701-4405
Phone (402) 371-9026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120910000108 NE Practitioner - Physical Therapist in Private Practice 3476701855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Nebraska College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3901 W Norfolk Ave
Suite P
Norfolk, NE 68701-9501
Phone (402) 371-9026

Merit-based Incentive Payment System (MIPS)

Final score
81.71 of 100Reported as individual
Quality
78.48
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Physical Therapy & Sports Center CurrentSince Feb 3, 2020 Accepting new patients
Family Physical Therapy & Sports Center Physical Therapist CurrentSince Feb 3, 2020 Accepting new patients
Columbus Physical Therapy, P.C. Physical Therapist PastSince Apr 19, 1999 Accepting new patients

Locations

211 W 33rd St
Ste A
Kearney, NE 68845
Phone (308) 236-5884

3901 W Norfolk Ave
Ste P
Norfolk, NE 68701
Phone (402) 371-9026

105 W 2nd St
Tilden, NE 68781
Phone (402) 928-6000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1285999664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 W NORFOLK AVE STE P",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014405",
            "telephone_number": "402-371-9026",
            "fax_number": "402-371-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 W NORFOLK AVE STE P",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014405",
            "telephone_number": "402-371-9026",
            "fax_number": "402-371-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOESCH",
        "first_name": "CHANCE",
        "middle_name": "LAWRENCE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-11",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.