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

Individual provider Physical Therapist · NPI 1467843094

Mary Elizabeth Boomgarden, DPT is a Physical Therapist in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2015
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

9645 Big Bend Blvd
Saint Louis, MO 63122
Phone: (314) 968-5460
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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 2014027179 (MO)

Record details

NPI number1467843094
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedFebruary 18, 2015
Last updated in NPPESFebruary 18, 2015

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