Emily Boersma

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501019569 Issued in MI

Practice address

8872 Professional Dr
Cadillac, MI 49601-8481

Phone

(231) 876-0010

NPI assigned

Sep 14, 2020

Last updated

Oct 13, 2025By 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

Other names 1

• Emily R Bode Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak Rehab LLCGroup PAC ID 5799122032, 29 clinicians

Dynamic Physical Therapy IncGroup PAC ID 8628986643, 11 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.

• Dynamic Physical Therapy Inc

  • Physical Therapist
  • Cadillac, MI
  • NPI 1609874288
  Medicare reassignment Care Compare group NPD
• Peak Rehab LLC

  • Physical Therapist
  • Bay City, MI
  • NPI 1629831219
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1891300034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8872 PROFESSIONAL DR",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018481",
            "telephone_number": "231-876-0010",
            "fax_number": "231-876-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8872 PROFESSIONAL DR",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018481",
            "telephone_number": "231-876-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOERSMA",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "BODE",
            "middle_name": "R",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paul Remo Bizzigotti, M.D.
• Sharon L Blackburn, DR. AUDIOLOGY
• Mary Blackmer, NP
• Joanie E Blamer, LMSW
• Chelsy Ann Boelkins, MSN, FNP-C
• Ronda Boker
• Erin Booms
• Brian C Borowicz, PHARMD
• Jonathon Eugene Borton, PA-C
• Ashlee R Bosscher, FNP

• Physical Therapist in Cadillac, MI
• Providers in Cadillac, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.