Active NPI
Diane Marie Bohn, P.T.
- Physical Therapist
- Westminster, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15805
- 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, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0016 | Other | MD | BLUE SHIELD OF MD |
| 1721761 | Other | AETNA | |
| 41113504 | Other | MD | BLUE SHIELD OF MD |
| 4616322 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, PA, DC
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15805 | MD | MD | Physical Therapist |
| PT011448L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Sportscare & Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Maryland Sportscare & Rehab, LLC | Physical Therapist | Current | Accepting new patients |
| Pivot Physical Therapy of Pennsylvania, LLC | Physical Therapist | Current | 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.
-
dba Pivot Physical Therapy of Maryland
- Physical Therapist
- Westminster, MD
- NPI 1518951995
DC, PA
-
- Physical Therapist
- South Abington Township, PA
- NPI 1881132488
-
dba Pivot Physical Therapy of Maryland
- Physical Therapist
- Westminster, MD
- NPI 1720445174
-
- Occupational Therapist
- Rehoboth Beach, DE
- NPI 1225637051
Physical Therapist
-
- Physical Therapist
- Towanda, PA
- NPI 1003876319
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.