Active NPI
Alexander Booher, DPT
- Physical Therapist
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2018003404
- Practice address
- 3512 Pennsylvania Ave
Saint Louis, MO 63118-3728 - Phone
- (217) 617-5652
- NPI assigned
- Feb 2, 2018
- Last updated
- Apr 12, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2018003404 | MO | Primary |
Addresses
Primary practice location
3512 Pennsylvania Ave
Saint Louis, MO 63118-3728
Mailing address
3512 Pennsylvania Ave
Saint Louis, MO 63118-3728
Phone (217) 617-5652
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2724 Southfield Dr
Quincy, IL 62301-6530
Phone (217) 617-5652
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Training and Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Booher Health LLC | Physical Therapist | Current | Accepting new patients |
| Knead Physical Medicine PA | Past | Accepting new patients | |
| Compass Capital LLC | Past | Accepting new patients |
Locations
333 S Kirkwood Rd
Ste 201
Saint Louis, MO 63122
Phone (314) 909-0517
6744 Clayton Rd
Saint Louis, MO 63117
Phone (314) 644-4774
6744 Clayton Rd
Ste 325
Saint Louis, MO 63117
Phone (314) 646-8300
14515 North Outer 40 Rd
Ste 110
Town and Country, MO 63017
Phone (314) 434-6060
Organizations & group practices 4
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.
-
- Physical Therapist
- Quincy, IL
- NPI 1215620380
-
- Physical Therapist
- Chesterfield, MO
- NPI 1174576045
-
- Physical Therapy Clinic/Center
- Chesterfield, MO
- NPI 1104772581
-
- Pain Medicine (Anesthesiology) Physician
- Frisco, TX
- NPI 1043665367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712880000000",
"number": "1639678923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3512 PENNSYLVANIA AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631183728",
"telephone_number": "217-617-5652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3512 PENNSYLVANIA AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631183728",
"telephone_number": "217-617-5652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOHER",
"first_name": "ALEXANDER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-02",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2018003404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.