Individual ProviderLeah BoentePhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2201 W White Oaks Dr, Springfield, IL 62704-6498(217) 546-3301PECOS EnrollmentBased on the most recent information from CMS, provider Leah Boente does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1508874744Provider TypeIndividualFull NameBoente, LeahTitleMrs.CredentialPT, DPT, CERT. MDT.GenderFemaleSole ProprietorYesEnumeration Date8/3/2006Last Updated8/26/2020Contact InformationPractice LocationPractice Address2201 W White Oaks Dr, Springfield, IL 62704-6498Phone(217) 546-3301Fax(217) 546-3302Mailing LocationMailing Address2201 W White Oaks Dr, Springfield, IL 62704-6498Phone(217) 546-3301Fax(217) 546-3302Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense70009000IllinoisProvider IdentifiersIDDescriptionIssuerID08432067DescriptionOtherIssuerBLUE CROSS BLUE SHIELDIllinois