Andrew Christopher Boardman, PT, DPT
Individual provider Active NPI Physical Therapist · Riverview, MI
NPI 1871363572 · NPPES record last updated Jan 3, 2024
Key facts
- NPI
- 1871363572
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501303080 (MI)
- Practice address
- 14700 King Rd Ste B
Riverview, MI 48193-7909 - Phone
- (734) 288-0235
- NPI assigned
- Jan 3, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Oakland Univ, William Beaumont School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Movement Physical and Occupational Therapy LLC
Practice addresses (Care Compare)
14700 King Rd
Suite B
Riverview, MI 48193-7909
Phone (734) 288-0235
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240215001146 | MI | Practitioner - Physical Therapist in Private Practice | 0042654212 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Movement Physical and Occupational Therapy LLC | Physical Therapist | Current |
Accepting new patients |
Locations
3132 Newport Rd
Newport, MI 48166
Phone (734) 586-9120
14700 King Rd
Ste B
Riverview, MI 48193
Phone (734) 288-0235
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501303080 | MI | Yes |
Addresses
Primary practice location
14700 King Rd Ste B
Riverview, MI 48193-7909
Mailing address
1844 11TH St
Wyandotte, MI 48192-3600
Phone (734) 258-4366
Other providers in Riverview, MI
- Julie Wechter Beddow
- Kevin C Begeman
- Belle Fountain Nursing & Rehabiliation Center Inc
- Kristina Benedict
- Better Health Chiropractic & Rehab, P.C.
- Bormans Inc
- Sara Bosh
- Jennifer S Boucher
- Dennae Lynn Boyd
- Angela Darlene Brennan
All providers in Riverview, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.