JOSEPH WALTER BOEGEMANN, DPT — NPI 1710559596 (Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers

CMS-1500 Box 24J / 33a • NPI

1710559596

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

225100000X (CMS 65)

Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist

Box 32 Service Location & ZIP+4

690 MINOT AVE STE 2, AUBURN, ME, 04210-3922

✓ 9-Digit EDI 837 ZIP+4 (04210-3922)

Practice Phone & Referral Fax

(207) 783-3450

Fax: (207) 777-3979

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1710559596 (JOSEPH WALTER BOEGEMANN, DPT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1710559596)

Medicare Beneficiaries

Total Billed Services

2,706

Distinct CPT/HCPCS Codes

Medicare Allowed Total

$72,092.26

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCS	Clinical Procedure Description	Services
`97110`	Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	606
`97112`	Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	660
`97140`	Therapy procedure using manual technique, each 15 minutes	121
`97150`	Therapy procedure in a group setting	366
`97161`	Evaluation for physical therapy, typically 20 minutes	23
`97162`	Evaluation for physical therapy, typically 30 minutes	38
`97164`	Re-evaluation for physical therapy, typically 20 minutes	45
`97530`	Therapy procedure using functional activities	776

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1710559596` (NPI-1 Individual Practitioner)
Provider / Legal Name	JOSEPH WALTER BOEGEMANN, DPT
Plain-English Specialty	Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist NUCC Code: `225100000X` (Physical Therapist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	690 MINOT AVE STE 2, AUBURN, ME, 04210-3922
Practice Telephone / Fax	Tel: (207) 783-3450 \| Fax: (207) 777-3979
Administrative Mailing Address	223 FLAGGY MEADOW RD, BUXTON, ME, 04093-3763
Enumeration & Last Sync	Enumerated: 2021-07-12 \| CMS Record Updated: 2021-07-12

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

690 MINOT AVE STE 2, AUBURN, ME, 04210-3922

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Plain-English Taxonomy & CMS Crosswalk (225100000X)

What Does Taxonomy Code 225100000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225100000X translates to:
"Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 65 (Physical Therapist in Private Practice)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physical Therapist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JOSEPH WALTER BOEGEMANN, DPT)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`225100000X` — Physical Therapist Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist	State: N/A \| License: `Verified` \| Primary: Secondary
`225100000X` — Physical Therapist Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist	State: ME \| License: `PT5947` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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JOSEPH WALTER BOEGEMANN, DPT (NPI #1710559596)