Alexandra Marie Boyer

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15245-24 Issued in WI

Practice address

650 Birch St
Baldwin, WI 54002-9348

Phone

(715) 684-3231

NPI assigned

Feb 13, 2021

Last updated

Feb 13, 2021By the provider in NPPES

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

Practice roles

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.

• Mama Needs Physical Therapy, LLC

  • Health Service Clinic/Center
  • Chisago City, MN
  • NPI 1942164850
  NPD Authorized official

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

{
    "created_epoch": "1613174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613174400000",
    "number": "1356934095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 NORTHERN MEADOWS PKWY APT 202",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547511138",
            "telephone_number": "763-267-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 BIRCH ST",
            "city": "BALDWIN",
            "state": "WI",
            "postal_code": "540029348",
            "telephone_number": "715-684-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "ALEXANDRA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-13",
        "last_updated": "2021-02-13",
        "certification_date": "2021-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15245-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Jae Berg, APSW
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• Paul A Boeder, MD
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• Shelley Borgeson, ST
• Sara Renae Brown, CNM
• Brianna Brunner, OTR/L
• Andrea Kay Burns, DNP
• Katie Jo Carstens, PA-C
• Chukwunonso Udoka Chime, M.D.

• Physical Therapist in Baldwin, WI
• Providers in Baldwin, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2021; 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.