Active NPI
Paige Bohner
- Speech-Language Pathologist
- Boca Raton, FL
National Provider Identifier
1235701673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 5661 Pacific Blvd Apt 2612
Boca Raton, FL 33433-6736 - Phone
- (561) 613-9651
- NPI assigned
- Jul 14, 2021
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
5661 Pacific Blvd Apt 2612
Boca Raton, FL 33433-6736
Mailing address
5661 Pacific Blvd Apt 2612
Boca Raton, FL 33433-6736
Phone (561) 613-9651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B560-674-96-677-0 | Medicaid | FL |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626220800000",
"number": "1235701673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5661 PACIFIC BLVD APT 2612",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334336736",
"telephone_number": "561-613-9651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5661 PACIFIC BLVD APT 2612",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334336736",
"telephone_number": "561-613-9651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHNER",
"first_name": "PAIGE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-14",
"last_updated": "2021-07-14",
"certification_date": "2021-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B560-674-96-677-0",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.