Ben Boecklen

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2019029985 Issued in MO

Practice address

220 NW R D Mize Rd Ste B203
Blue Springs, MO 64014-2540

Phone

(816) 220-0223

NPI assigned

Aug 7, 2019

Last updated

Aug 7, 2019By 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

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complete PT, LLCGroup PAC ID 2062786825, 4 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.

• Complete PT, LLC

  • Physical Therapy Clinic/Center
  • Liberty, MO
  • NPI 1790214252

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1669027629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 NW R D MIZE RD STE B203",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142540",
            "telephone_number": "816-220-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 NW R D MIZE RD STE B203",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142540",
            "telephone_number": "816-220-0223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5775 NW 64th Ter Ste 101",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641513945",
            "country_code": "US",
            "telephone_number": "816-741-4525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOECKLEN",
        "first_name": "BEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2019029985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Springs Psychological Services LLC
• Blue Springs R-IV School District
• Blue Springs Wellness & Rehabilitation LLC (Blue Springs Wellness & Rehabilitation)
• Bluesprings Group Inc
• Gary E. Bodenhausen, M.D.
• Nathan Blair Boles, D.D.S.
• Samuel J Boone, OTR
• Renae Sue Borden, O.D.
• Angela Boston, M.D.
• Rebecca Bowe, BCBA

• Physical Therapist in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.