Brooke Boente

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2014035895 Issued in MO

Practice address

1200 Homelife PLZ
Rolla, MO 65401-2596

Phone

(217) 556-9656

NPI assigned

Dec 29, 2014

Last updated

Dec 29, 2014By the provider in NPPES

Sex

Female

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

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": "1419811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1396133377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 HUNTLEIGH DR",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654016818",
            "telephone_number": "217-556-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HOMELIFE PLZ",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012596",
            "telephone_number": "217-556-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOENTE",
        "first_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-29",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2014035895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Michelle Bland, FNP-C
• Elizabeth Bland, CNP
• Michelle Lynn Bland, APRN, FNP-C
• Matthew James Blanton, O.D.
• Betty J Blome, MSW/LCSW
• Madison Bogart, FNP-C
• Annie Elizabeth Boggs
• Cathy Bond, D.O.
• Donna K Bond, APN
• Joseph C Bond Jr., D.O.

• Physical Therapist in Rolla, MO
• Providers in Rolla, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.