Individual provider · Type 1 NPI

Jordan Boogerd, PT

Physical Therapist · St. Charles, MO

NPI number 1376434019 Active

Practice location

1552 Country Club Plaza Dr Unit 1570
St. Charles, MO 63303-3859

Mailing address

10017 Santa Rosa Dr
Atoka, TN 38004-7209

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X2025028557 (MO)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1376434019

Jordan Boogerd, PT's National Provider Identifier is 1376434019, issued on Jul 11, 2025. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in St. Charles, MO. The record was last updated on Jul 11, 2025.