ALEXANDER BOOHER (DPT) – Physical Therapist, NPI 1639678923

ALEXANDER BOOHER (DPT) is a healthcare provider. based in Chesterfield, Missouri. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 2018003404 (MO). The NPI Number for ALEXANDER BOOHER (DPT) is 1639678923

Main info

Male
9 Years Of Experience
Name
ALEXANDER BOOHER (DPT)
NPI
1639678923
Phone
(314) 434-8680
Address
14515 NORTH OUTER 40 RD
Enumeration Date
2 February 2018
Last Update Date
12 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2176175652
Graduation Year
2017 (9 years ago)
PAC ID
2567722366
Group Practice PAC ID
8820459423
Professional Enrollment ID
I20211206000011
Address ID
IL623016530QU2724XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,533 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO

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Provider Addresses for ALEXANDER BOOHER (DPT)

  • 14515, North Outer 40, Chesterfield, Saint Louis County, Missouri, 63017, United States

    CHESTERFIELD, MO 630175791

    Phone: (314) 434-8680

    Type: Mailing

  • Big Bend Professional Building, 6744, Clayton Road, Richmond Heights, Saint Louis County, Missouri, 63117, United States

    SAINT LOUIS, MO 631171637

    Phone: (314) 646-8300

    Type: Location

  • 3512 PENNSYLVANIA AVE

    SAINT LOUIS, MO 631183728

    Phone: (217) 617-5652

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-12-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180215000901IPhysical Therapist In Private PracticeMOTBD
I20211206000011IPhysical Therapist In Private PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,09352$0
97530Therapy procedure using functional activities94550$0
97140Therapy procedure using manual technique, each 15 minutes49528$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes32341$0
97116Therapy procedure for walking training, each 15 minutes15616$0
View full utilization report →

Insurance plans in this area (ZIP 63017)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820459423View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

Can I use this page to confirm ALEXANDER BOOHER (DPT)'s NPI?
Yes. ALEXANDER BOOHER (DPT) is listed with NPI 1639678923 in the public NPI dataset.
Is ALEXANDER BOOHER (DPT) listed as active for patients and plans?
The listing shows ALEXANDER BOOHER (DPT) as active in the NPI system.
What taxonomy line describes ALEXANDER BOOHER (DPT)?
For research purposes, treat ALEXANDER BOOHER (DPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect ALEXANDER BOOHER (DPT) on a map?
Expect Chesterfield, Missouri as a primary anchor for ALEXANDER BOOHER (DPT) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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