John Boehnke, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0531 Issued in SD

Practice address

501 N Sycamore Ave
Sioux Falls, SD 57110-5752

Phone

(605) 367-7696

NPI assigned

Apr 29, 2019

Last updated

Apr 29, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1245894880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 S ANNWAY DR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571032564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N SYCAMORE AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571105752",
            "telephone_number": "605-367-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEHNKE",
        "first_name": "JOHN",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SD",
            "license": "0531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Bockorny, LPC-MH
• Allison Annette Boe, PT, DPT
• Kristin Boe
• Lurene Boehm-Shereck, LPC MH
• Andrew David Boehnke, MS, ATC
• Boer Counseling (Sioux Empire Christian Counseling)
• Amanda K Boer
• Anthony L Boer, MSW
• Andrea Beth Boerigter, MA CCC-SLP
• Cornelius F Boerkoel III

• Athletic Trainer in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Athletic Trainer in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.