Individual provider Active NPI

Alexander Booher, DPT

  • Physical Therapist
  • Saint Louis, MO
National Provider Identifier
1639678923
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2018003404 Issued in MO
Practice address
3512 Pennsylvania Ave
Saint Louis, MO 63118-3728
Phone
(217) 617-5652
NPI assigned
Feb 2, 2018
Last updated
Apr 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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 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, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180215000901 MO Practitioner - Physical Therapist in Private Practice 2567722366 Reassigns benefits to 1 organization
I20211206000011 IL Practitioner - Physical Therapist in Private Practice 2567722366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Booher Health LLCGroup PAC ID 8820459423, 3 clinicians

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

OrganizationSpecialtyStatusNew patients
Advanced Training and Rehab LLC Physical Therapist CurrentSince Feb 5, 2018 Accepting new patients
Booher Health LLC Physical Therapist CurrentSince Jul 1, 2023 Accepting new patients
Knead Physical Medicine PA Past Accepting new patients
Compass Capital LLC PastSince Apr 30, 2026 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.

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.

Verify at the official NPI Registry.