David Steven Bohannan, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2764 Issued in AR

Practice address

515 Forrest Park Way
Greenwood, AR 72936-5955

Phone

(479) 597-8318

Fax

(479) 996-5079

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bohannan Irgens Group LLCGroup PAC ID 2365732757, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.5 of 100Reported as individual

Quality

85

Improvement activities

40

Cost

74.99

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bohannan Irgens Group LLC

  • Physical Therapy Clinic/Center
  • Greenwood, AR
  • NPI 1417313925

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Bohannan Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Greenwood, AR
  • NPI 1225403843
  NPD Authorized official
• Greenwood Physical Therapy Center, Inc.

  • Physical Therapy Clinic/Center
  • Greenwood, AR
  • NPI 1275515959

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1306942198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 FORREST PARK WAY",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729365955",
            "telephone_number": "479-597-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 FORREST PARK WAY",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729365955",
            "telephone_number": "479-597-8318",
            "fax_number": "479-996-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHANNAN",
        "first_name": "DAVID",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT2764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "5Y701",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT2764",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bishop Family Dentistry
• Bryan W Bishop, D.D.S.
• Lu Ann Blackard, SLP-CCC
• Bohannan Irgens Group LLC
• Bohannan Physical Therapy LLC
• Thomas Charles Bonin, MD
• Molly A Boyd, SLA-BA
• Brent W. Dunavin, D.D.S
• Shelbe Dale Brooks, LMT
• Haley Marie Brown, LPTA

• Physical Therapist in Greenwood, AR
• Providers in Greenwood, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.