Chelsey D Boeser, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.025555 Issued in IL

Practice address

980 E Broadway
Trenton, IL 62293-1442

Phone

(618) 406-5593

NPI assigned

Sep 15, 2020

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

Other names 1

• Chelsey Kloss Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1508471699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12809 BUCKEYE RD",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622494321",
            "telephone_number": "618-406-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 E BROADWAY",
            "city": "TRENTON",
            "state": "IL",
            "postal_code": "622931442",
            "telephone_number": "618-406-5593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12809 Buckeye Rd",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IL",
            "postal_code": "622494321",
            "country_code": "US",
            "telephone_number": "618-406-5593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOESER",
        "first_name": "CHELSEY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.025555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEY",
            "last_name": "KLOSS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapist in Trenton, IL
• Providers in Trenton, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.