Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marcus A Boehm, DPT

Individual provider Physical Therapist · NPI 1356869416

Marcus A Boehm, DPT is a Physical Therapist in Private Practice in Green Bay, Wisconsin. Qualified in 2017, 9 years ago. Practices with St Vincent Hospital-Hospital Sisters-Third Order of St Francis, a 594-clinician group and accepts Medicare assignment. Licensed in Alabama and Wisconsin.

Years since qualifying
9
Licensed in
AL, WI
In the registry since
2017
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2502 S Ashland Ave
Green Bay, WI 54304-5252
Phone: (920) 496-4700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 14128-24 (WI)
Physical Therapist Taxonomy 225100000X · Licence 8594 (AL)

Record details

NPI number1356869416
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 8, 2017
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025
Mailing addressPo Box 19070, Green Bay, WI 54307-9070

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice St Vincent Hospital-Hospital Sisters-Third Order Of St Francis — 594 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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