Individual provider Active NPI

Diane Marie Bohn, P.T.

  • Physical Therapist
  • Westminster, MD
National Provider Identifier
1316043367
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15805 Issued in MD
Practice address
844 Washington Rd Ste 101
Westminster, MD 21157
Phone
(410) 876-5600
Fax
(410) 876-1623
NPI assigned
Sep 16, 2006
Last updated
Aug 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT011448L PA
Physical Therapist 225100000X 15805 MD Primary

Addresses

Primary practice location

844 Washington Rd Ste 101
Westminster, MD 21157

Mailing address

350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714

Other practice location 1

1418 Baltimore St Ste 8
Hanover, PA 17331-8536
Phone (717) 839-5680

Other identifiers 4

IdentifierTypeStateIssuer
0016OtherMDBLUE SHIELD OF MD
1721761OtherAETNA
41113504OtherMDBLUE SHIELD OF MD
4616322OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20080417000192 MD Practitioner - Physical Therapist in Private Practice 5890873780 Reassigns benefits to 1 organization
I20180906000050 PA Practitioner - Physical Therapist in Private Practice 5890873780 Reassigns benefits to 2 organizations
I20220215000789 DC Practitioner - Physical Therapist in Private Practice 5890873780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pivot Physical Therapy of Pennsylvania LLCGroup PAC ID 4981971843, 123 clinicians
Maryland Sportscare and Rehab LLCGroup PAC ID 2860440427, 166 clinicians

Practice addresses (Care Compare)

655 Northern Blvd
South Abington Township, PA 18411-8740
Phone (570) 587-2142

790 W King St
Suite 1
Littlestown, PA 17340-1457
Phone (717) 359-1928

844 Washington Rd
Suite 101
Westminster, MD 21157-6664
Phone (410) 876-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15805MDMDPhysical Therapist
PT011448LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Nov 24, 2015 Accepting new patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Nov 24, 2015 Accepting new patients
Pivot Physical Therapy of Pennsylvania, LLC Physical Therapist CurrentSince Aug 2, 2025 Accepting new patients
Procare Physical Therapy Inc Physical Therapist Past Accepting new patients
Dynamic Therapy Services, LLC Physical Therapist Past Accepting new patients

Locations

9815 Main St
Ste 206
Damascus, MD 20872
Phone (301) 253-6761

141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702
Phone (301) 620-7478

25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300

417 E Baltimore St
Ste E
Taneytown, MD 21787
Phone (410) 514-2536

844 Washington Rd
Ste 101
Westminster, MD 21157

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

1418 Baltimore St
Ste 8
Hanover, PA 17331
Phone (717) 839-5680

790 W King St
Ste 1
Littlestown, PA 17340
Phone (717) 359-1928

655 Northern Blvd
South Abington Township, PA 18411
Phone (570) 587-2142

130 W Main St
Ste 100B
Trappe, PA 19426
Phone (484) 471-6850

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1316043367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-258-2714",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 WASHINGTON RD STE 101",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "21157",
            "telephone_number": "410-876-5600",
            "fax_number": "410-876-1623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1418 Baltimore St Ste 8",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173318536",
            "country_code": "US",
            "telephone_number": "717-839-5680",
            "fax_number": "717-839-5681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHN",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT011448L",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "15805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF MD",
            "identifier": "0016",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1721761",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF MD",
            "identifier": "41113504",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4616322",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.