Alexandra Marie Boyer

Individual provider Active NPI Physical Therapist · Baldwin, WI

NPI 1356934095 · NPPES record last updated Feb 13, 2021

Key facts

NPI
1356934095
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
15245-24 (WI)
Practice address
650 Birch St
Baldwin, WI 54002-9348
Phone
(715) 684-3231
NPI assigned
Feb 13, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
15245-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mama Needs Physical Therapy, LLC Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15245-24 WI Yes

Addresses

Primary practice location

650 Birch St
Baldwin, WI 54002-9348

Mailing address

740 Northern Meadows Pkwy Apt 202
Menomonie, WI 54751-1138
Phone (763) 267-1987

Other providers in Baldwin, WI

All providers in Baldwin, WI · Physical Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.