Individual provider Active NPI

Juliana K. Bohn, PT

  • Orthopedic Physical Therapist
  • Bellingham, WA
National Provider Identifier
1154400190
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT00003493 Issued in WA
Practice address
1815 C St
Suite J36
Bellingham, WA 98225-4027
Phone
(360) 303-8044
Fax
(360) 734-6727
NPI assigned
Nov 2, 2006
Last updated
Jul 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT00003493 WA Primary

Addresses

Primary practice location

1815 C St
Suite J36
Bellingham, WA 98225-4027

Mailing address

1815 C St
Suite J36
Bellingham, WA 98225-4027
Phone (360) 303-8044

Other identifiers 1

IdentifierTypeStateIssuer
2040708MedicaidWA

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

Practice roles

OrganizationSpecialtyStatusNew patients
Olympic Physical Therapy, Inc Past Accepting new patients
Core Performance LLC PastSince Nov 21, 2011 Accepting new patients
Apple Physical Therapy, LLC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500595200000",
    "number": "1154400190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 C ST",
            "address_2": "SUITE J36",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254027",
            "telephone_number": "360-303-8044",
            "fax_number": "360-734-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 C ST",
            "address_2": "SUITE J36",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254027",
            "telephone_number": "360-303-8044",
            "fax_number": "360-734-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHN",
        "first_name": "JULIANA",
        "middle_name": "K.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2017-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT00003493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2040708",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.