Mary Catherine Bockhahn, DPT
Individual provider Active NPI Physical Therapist · Elma, NY
NPI 1235598145 · NPPES record last updated Sep 3, 2025
Key facts
- NPI
- 1235598145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 062039979 (NY)
- Practice address
- 960 W Maple CT
Elma, NY 14059-9397 - Phone
- (716) 805-1555
- NPI assigned
- Feb 19, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- 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.
Practice addresses (Care Compare)
960 W Maple CT
Elma, NY 14059-9397
Phone (716) 805-1440
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251030003749 | NY | Practitioner - Physical Therapist in Private Practice | 6507355336 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039979 | NY | MD | Pharmacist |
| 062039979 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suburban Adult Services-Inc. | Current |
Accepting new patients |
Locations
960 W Maple Ct
Elma, NY 14059
Phone (716) 805-1440
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 062039979 | NY | Yes |
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
- Marykate Coughlin
Other providers in Elma, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.