Mark W Boede, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1519 132ND St SE
Suite a
Everett, WA 98208-7203

Phone

(425) 337-9556

Fax

(425) 357-9186

NPI assigned

Apr 6, 2006

Last updated

Jan 24, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 14

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Washington School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Rehabilitation Group PCGroup PAC ID 0042111718, 192 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Integrated Rehabilitation Group, PC

  • Physical Therapy Clinic/Center
  • Mill Creek, WA
  • NPI 1154369833

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Everett Physical Therapy and Sport Performance Center PLLC

  • Physical Therapist
  • Everett, WA
  • NPI 1699713370
  Medicare reassignment NPD
• Snohomish Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Snohomish, WA
  • NPI 1487692398

  Physical Therapist

  Medicare reassignment NPD
• Everett Physical Therapy and Sport Performance Center PLLC

  • Durable Medical Equipment & Medical Supplies
  • Bothell, WA
  • NPI 1447047477
  NPD
• Integrated Rehabilitation Group, PC

  dba IRG Physical & Hand Therapy - Marysville

  • Physical Therapy Clinic/Center
  • Marysville, WA
  • NPI 1215201801

  Physical Therapist

  NPD
• Snohomish Physical Therapy PLLC

  dba IRG Physical Therapy of Canyon Park

  • Occupational Therapist
  • Bothell, WA
  • NPI 1245696814

  Physical Therapist

  NPD
• Northlake Rehabilitation, LLC

  • Physical Therapist
  • Woodinville, WA
  • NPI 1295919181
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1447213012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 132ND ST SE",
            "address_2": "SUITE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982087203",
            "telephone_number": "425-330-0633",
            "fax_number": "425-338-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 132ND ST SE",
            "address_2": "SUITE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982087203",
            "telephone_number": "425-337-9556",
            "fax_number": "425-357-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEDE",
        "first_name": "MARK",
        "middle_name": "W",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "1838BO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "911745305-98223-C004",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7787375",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "8350183",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I CRIME VICTIMS",
            "identifier": "8940177",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR & INDUSTRY",
            "identifier": "0213610",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0251421",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8350183",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "3568BO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "8750BO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "1830BO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT L/I",
            "identifier": "0273078",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "0309BO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00414140",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Bodding, PTA
• Sharon Yvonne Bode, BSN, RN
• Marko Bodi, BA
• Marion C Bodle, RN
• Milanya Bodrick
• Daryl I Boekenoogen, DDS MS PS
• Gina Lora Boggeri, D.D.S.
• Jeffrey W Boggs, DPM
• Joshua Max Boguch, M.D.
• Michele Yevonne Bogue', MA

• Physical Therapist in Everett, WA
• Providers in Everett, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.