Individual provider Active NPI

Mary Catherine Bockhahn, DPT

  • Physical Therapist
  • Elma, NY
National Provider Identifier
1235598145
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
062039979 Issued in NY
Practice address
960 W Maple CT
Elma, NY 14059-9397
Phone
(716) 805-1555
NPI assigned
Feb 19, 2016
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 062039979 NY Primary

Addresses

Primary practice location

960 W Maple CT
Elma, NY 14059-9397

Mailing address

960 W Maple CT
Elma, NY 14059-9397
Phone (716) 805-1555

Other names 1

  • Marykate Coughlin Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251030003749 NY Practitioner - Physical Therapist in Private Practice 6507355336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban Adult Services Inc.Group PAC ID 1658378583, 14 clinicians

Practice addresses (Care Compare)

960 W Maple CT
Elma, NY 14059-9397
Phone (716) 805-1440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
039979NYMDPharmacist
062039979NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Adult Services-Inc. CurrentSince Jul 21, 2025 Accepting new patients

Locations

960 W Maple Ct
Elma, NY 14059
Phone (716) 805-1440

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.

NPI Registry JSON

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1235598145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 W MAPLE CT",
            "city": "ELMA",
            "state": "NY",
            "postal_code": "140599397",
            "telephone_number": "716-805-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 W MAPLE CT",
            "city": "ELMA",
            "state": "NY",
            "postal_code": "140599397",
            "telephone_number": "716-805-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCKHAHN",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-19",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "062039979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYKATE",
            "last_name": "COUGHLIN",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.