Kory L Bohling, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2013001187 Issued in MO

Practice address

3222 W 16TH St
Sedalia, MO 65301-2105

Phone

(660) 827-6800

Fax

(660) 827-6810

NPI assigned

Jan 30, 2013

Last updated

Mar 18, 2015By 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": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1275871923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 BERRYWOOD DR",
            "address_2": "SUITE 204",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016517",
            "telephone_number": "573-449-8771",
            "fax_number": "573-449-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3222 W 16TH ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012105",
            "telephone_number": "660-827-6800",
            "fax_number": "660-827-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHLING",
        "first_name": "KORY",
        "middle_name": "L",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-30",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2013001187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor H Beckham, MD
• Mary Ellen Beegle, D.O.
• Chase Belnap
• Jessica Marie Berney, FNP
• Cheryl L Beykirch-Buckley, MS, LPC
• Roderick Wayne Bollinger, FNP-BC
• Borke Home Care
• Skyler Borman
• Molly Boston, LCSW
• Bothwell Regional Health Center (Bothwell Family Health)

• Physical Therapy Assistant in Sedalia, MO
• Providers in Sedalia, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.