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

Mary Elizabeth Boedeker, DPT

Individual provider Physical Therapist · NPI 1780077123

Mary Elizabeth Boedeker, DPT is a Physical Therapist in Belleville, Illinois. Licensed in Illinois and Missouri. Registered with an NPI since 2015.

Licensed in
IL, MO
In the registry since
2015
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

144 Lincoln Place Ct
Belleville, IL 62221-5878
Phone: (618) 233-5163
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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 070.021261 (IL)
Physical Therapist Taxonomy 225100000X · Licence 2008013230 (MO)

Record details

NPI number1780077123
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 10, 2015
Last updated in NPPESJanuary 3, 2019

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