Jessica E Boyer, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2018026070 Issued in MO

Practice address

2289 Crystal Wood Dr
Arnold, MO 63010-4178

Phone

(314) 667-9317

NPI assigned

Aug 14, 2018

Last updated

Aug 14, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1780164384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2289 CRYSTAL WOOD DR",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630104178",
            "telephone_number": "314-667-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2289 CRYSTAL WOOD DR",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630104178",
            "telephone_number": "314-667-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "JESSICA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2018026070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Marie Bowie, MSW, MS SLP-CF
• Caitlyn Carissa Bowling, M.S., CF-SLP
• Carrie Elena Bowling
• Aubrey N Boyd, LPC
• Gwen Boyd, RN
• Bradley Chiropractic LLC
• Shawn Bradley, D.C.
• Brooke Bradow, OTD, OTR/L
• Melanie R Brady, LCSW
• Melissa A Brennan, MA, PLPC

• Physical Therapy Assistant in Arnold, MO
• Providers in Arnold, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.