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

Ryan Boeckmann

Individual provider Physical Therapy Assistant · NPI 1144850280

Ryan Boeckmann is a Physical Therapy Assistant in Belleville, Illinois. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1929 Cedarwood Trl
Belleville, IL 62226-7848
Phone: (618) 234-4619
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1144850280
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 16, 2020
Last updated in NPPESJanuary 16, 2020
Certification dateJanuary 16, 2020
Mailing address630 S 6th St, Breese, IL 62230-2041

Other providers in Belleville