Active NPI
Joseph Walter Boegemann, DPT
- Physical Therapist
- Auburn, ME
National Provider Identifier
1710559596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5947
- Practice address
- 690 Minot Ave Ste 2
Auburn, ME 04210-3922 - Phone
- (207) 783-3450
- Fax
- (207) 777-3979
- NPI assigned
- Jul 12, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
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.
-
- Physical Therapist
- Saco, ME
- NPI 1346254315
ME, Physical Therapist
-
- Physical Therapy Clinic/Center
- Old Town, ME
- NPI 1154096238
-
- Physical Therapy Clinic/Center
- Hampden, ME
- NPI 1912675695
-
- Physical Therapy Clinic/Center
- New London, NH
- NPI 1548837065
-
- Physical Therapy Clinic/Center
- Westbrook, ME
- NPI 1396312807
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saco Bay Orthopaedic and Sports Physical Therapy Inc
Practice addresses (Care Compare)
4 Commons Ave
Suite 4D
Windham, ME 04062-5554
Phone (207) 892-7642
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220318001211 | ME | Practitioner - Physical Therapist in Private Practice | 6507251055 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Current | Accepting new patients | |
| Saco Bay Orthopaedic and Sports Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
Locations
400 North St
#2
Saco, ME 04072
Phone (207) 282-7121
4 Commons Ave
Ste 4D
Windham, ME 04062
Phone (207) 590-5413
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | PT5947 | ME | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
690 Minot Ave Ste 2
Auburn, ME 04210-3922
Mailing address
223 Flaggy Meadow Rd
Buxton, ME 04093-3763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 12, 2021.
{
"created_epoch": "1626048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1710559596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 FLAGGY MEADOW RD",
"city": "BUXTON",
"state": "ME",
"postal_code": "040933763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 MINOT AVE STE 2",
"city": "AUBURN",
"state": "ME",
"postal_code": "042103922",
"telephone_number": "207-783-3450",
"fax_number": "207-777-3979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOEGEMANN",
"first_name": "JOSEPH",
"middle_name": "WALTER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-12",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT5947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.