Active NPI
Joanell A Bohmert, PT
- Physical Therapist
- Mahtomedi, MN
National Provider Identifier
1114282068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1825
- Practice address
- 688 Wildwood Rd
Mahtomedi, MN 55115-1812 - Phone
- (651) 429-9947
- Fax
- (651) 429-1029
- NPI assigned
- Jul 6, 2012
- Last updated
- Aug 31, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1825 | MN | Primary |
Addresses
Primary practice location
688 Wildwood Rd
Mahtomedi, MN 55115-1812
Mailing address
199 Puma LN
Mahtomedi, MN 55115-6833
Phone (651) 270-9940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1825 | MN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fitness Focus, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Fitness Focus
- Physical Therapy Clinic/Center
- Mahtomedi, MN
- NPI 1720156680
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504137600000",
"number": "1114282068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 PUMA LN",
"city": "MAHTOMEDI",
"state": "MN",
"postal_code": "551156833",
"telephone_number": "651-270-9940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "688 WILDWOOD RD",
"city": "MAHTOMEDI",
"state": "MN",
"postal_code": "551151812",
"telephone_number": "651-429-9947",
"fax_number": "651-429-1029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHMERT",
"first_name": "JOANELL",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-06",
"last_updated": "2017-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "1825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mahtomedi, MN
- Hayley Rae Alt, L.AC.
- Am Schneider PA (Pro Pharmacy)
- Toni Belsky, LPCC
- Berger Built Construction Co. Inc. (Berger Built Construction)
- Bloom Physical Therapy and Wellness LLC
- Bohn Counseling Associates, Inc,
- Michael David Carlson, MSW, LICSW
- Ivan Alejandro Carrillo, DC
- Kaci Ann Carroll, DPT
- Christina Marie Case, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.