Individual provider Active NPI

Debra Hohn, PT

  • Physical Therapist
  • Liberty, MO
National Provider Identifier
1174963011
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2013033842 Issued in MO
Practice address
398 Blue Jay Dr
Liberty, MO 64068-1977
Phone
(816) 407-2315
Fax
(816) 407-1555
NPI assigned
Jun 25, 2013
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1104599 KS
Physical Therapist 225100000X 2013033842 MO Primary

Addresses

Primary practice location

398 Blue Jay Dr
Liberty, MO 64068-1977

Mailing address

2609 Glenn Hendern Dr
Liberty, MO 64068
Phone (816) 407-4555

Other practice location 1

1311 Wakarusa Dr
Suite 1000
Lawrence, KS 66049-4798
Phone (785) 749-1300

Other names 1

  • Debra Bowman Former name

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

LicenseStateTypeSpecialty
1104599KSMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1174963011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 GLENN HENDERN DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "64068",
            "telephone_number": "816-407-4555",
            "fax_number": "816-781-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 BLUE JAY DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681977",
            "telephone_number": "816-407-2315",
            "fax_number": "816-407-1555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1311 Wakarusa Dr",
            "address_2": "Suite 1000",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660494798",
            "country_code": "US",
            "telephone_number": "785-749-1300",
            "fax_number": "785-749-4746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOHN",
        "first_name": "DEBRA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1104599",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2013033842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "BOWMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Liberty, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.