Karen M. Booms, M.P.T., A.T.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501005796 Issued in MI

Practice address

225 W Butler St
Bad Axe, MI 48413-1006

Phone

(989) 269-6029

Fax

(989) 269-6029

NPI assigned

Apr 10, 2009

Last updated

Apr 10, 2009By 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)

Enrolled

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239321600000",
    "number": "1437392107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W BUTLER ST",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484131006",
            "telephone_number": "989-269-6029",
            "fax_number": "989-269-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W BUTLER ST",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484131006",
            "telephone_number": "989-269-6029",
            "fax_number": "989-269-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOMS",
        "first_name": "KAREN",
        "middle_name": "M.",
        "credential": "M.P.T., A.T.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Bodis
• Alexis Danielle Bogart-Venenziano
• Jean Booms
• Julia Booms, LLMSW
• Kaileigh Booms
• Lori Margaret Booms, OTR/L
• Shauna Marie Booms, MA, LLPC
• Branden M Borchardt, CRNA
• Beverly Bouverette
• Bethany Breismiester

• Physical Therapist in Bad Axe, MI
• Providers in Bad Axe, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; 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.