Matthew D Boebel, P.T.

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

070010537 Issued in IL

Practice address

5601 S County Line Rd
Hinsdale, IL 60521-4875

Phone

(630) 286-4211

NPI assigned

Mar 12, 2007

Last updated

Jul 8, 2007By 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

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861524092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 FERDINAND AVE",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601302201",
            "telephone_number": "708-366-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 S COUNTY LINE RD",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605214875",
            "telephone_number": "630-286-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEBEL",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "IL",
            "license": "070010537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Frances Blaha, LCPC
• Blake H. Horio, M.D., LTD
• Connie Blatner
• Sheridan Elise Bochniak
• Elizabeth Schlichting Bockhold, M.D.
• Marcia A Boehm
• Isolina Boero, DMD
• Rachel Bognet, M.D.
• Laura Elizabeth Boillot, LCPC
• Katherine Bokermann, ED.S.

• Geriatric Physical Therapist in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Geriatric Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.