Individual provider Active NPI

Chyna Bohman, OTR/L

  • Occupational Therapist
  • Erie, PA
National Provider Identifier
1316764756
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC020207 Issued in PA
Practice address
2631 W 8TH St
Erie, PA 16505-4034
Phone
(814) 464-0627
NPI assigned
Sep 25, 2024
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC020207 PA Primary

Addresses

Primary practice location

2631 W 8TH St
Erie, PA 16505-4034

Mailing address

445 Halley St
Erie, PA 16511-1135
Phone (814) 392-1273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250723003866 PA Practitioner - Occupational Therapist in Private Practice 3375059470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Niagara Therapy LLCGroup PAC ID 9234282443, 15 clinicians

Practice addresses (Care Compare)

2631 W 8TH St
Erie, PA 16505-4034
Phone (814) 464-0627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC020207PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Niagara Therapy L.L.C. Occupational Therapist CurrentSince Jun 20, 2025 Accepting new patients

Locations

2631 W 8th St
Erie, PA 16505
Phone (814) 464-0627

Organizations & group practices 1

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": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1316764756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 HALLEY ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165111135",
            "telephone_number": "814-392-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 W 8TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054034",
            "telephone_number": "814-464-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHMAN",
        "first_name": "CHYNA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC020207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.