Doctor profile · Federal record
Dr. Mary Boedeker, DPT
Physical Therapist · Physical Therapist · Belleville, IL
- NPI 1780077123
- 11 yrs on file
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
144 Lincoln Place CT
Belleville, IL 622215878
(618) 233-5163 - Mailing address
-
15 Apex Dr
Highland, IL 622491282
Credentials & registration
- NPI registered
- March 2015 — 11 yrs on file
- Profile last updated
- January 3, 2019
- Specialty taxonomy
- 225100000X — NUCC code
- State licenses (2)
- Illinois #070.021261 · Missouri #2008013230
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1780077123. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,232
Distinct HCPCS
4
Medicare allowed
$29,645
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 808 | 25 | $23 | |
97140 |
Therapy procedure using manual technique, each 15 minutes | 235 | 22 | $21 | |
97112 |
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 127 | 18 | $30 | |
97530 |
Therapy procedure using functional activities | 62 | 13 | $35 |
In context: peer comparison
Among 7 peers in Belleville Physical Therapist, average services per provider: 396. This provider delivers 3.1× the peer median.Frequently asked questions
What is Dr. Mary Boedeker's medical specialty?
Dr. Mary Boedeker practices Physical Therapist in Belleville, IL.
Where does Dr. Mary Boedeker practice?
Dr. Mary Boedeker practices at 144 Lincoln Place CT, Belleville, IL 622215878. Office phone: 6182335163.
What is Dr. Mary Boedeker's NPI?
Dr. Mary Boedeker's National Provider Identifier (NPI) is 1780077123, issued by NPPES.
What procedures does Dr. Mary Boedeker commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure using manual technique (HCPCS 97140); Therapy procedure to re-educate brain-to-nerve-to-muscle function (HCPCS 97112). Source: CMS Medicare Physician & Other Practitioners file.