Individual provider Active NPI

Julie Christine Bokermann, MSPT ATC CSCS

  • Physical Therapist
  • Brentwood, MO
National Provider Identifier
1487765384
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2002018242 Issued in MO
Practice address
8228 Brentwood Industrial Dr
Brentwood, MO 63144-2815
Phone
(314) 722-3366
Fax
(314) 781-3448
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2002018242 MO Primary

Addresses

Primary practice location

8228 Brentwood Industrial Dr
Brentwood, MO 63144-2815

Mailing address

8228 Brentwood Industrial Dr
Brentwood, MO 63144-2815
Phone (314) 722-3366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110103000911 MO Practitioner - Physical Therapist in Private Practice 0446244412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Missouri Physical Therapy LLCGroup PAC ID 6901870187, 59 clinicians

Practice addresses (Care Compare)

3301 Berrywood Dr
Suite 204
Columbia, MO 65201-6517
Phone (573) 449-8771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2002018242MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Missouri Physical Therapy LLC Physical Therapist CurrentSince Mar 2, 2020 Accepting new patients

Locations

3301 Berrywood Dr
Ste 204
Columbia, MO 65201
Phone (573) 374-7579

9901 Watson Rd
Ste 153
Saint Louis, MO 63126
Phone (314) 270-8671

425 N New Ballas Rd
Ste 202
Saint Louis, MO 63141
Phone (314) 991-2562

Interoperability endpoints

  • Direct secure messaging: julie.bokermann.p2@direct.athleticoltd.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1487765384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8228 BRENTWOOD INDUSTRIAL DR",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631442815",
            "telephone_number": "314-722-3366",
            "fax_number": "314-781-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8228 BRENTWOOD INDUSTRIAL DR",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631442815",
            "telephone_number": "314-722-3366",
            "fax_number": "314-781-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOKERMANN",
        "first_name": "JULIE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "MSPT ATC CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2002018242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.