Individual provider Active NPI

Kathryn S Boehm, PT

  • Physical Therapist
  • Toms River, NJ
National Provider Identifier
1346342805
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTDPTQA08925 Issued in NJ
Practice address
530 Lakehurst Rd
Suite 202 & 204
Toms River, NJ 08755-8063
Phone
(732) 349-1201
Fax
(732) 349-1202
NPI assigned
Sep 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTDPTQA08925 NJ Primary

Addresses

Primary practice location

530 Lakehurst Rd
Suite 202 & 204
Toms River, NJ 08755-8063

Mailing address

530 Lakehurst Rd
Suite 202 & 204
Toms River, NJ 08755-8063
Phone (732) 349-1201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTDPTQA08925NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health Center, L.L.C. Physical Therapist PastSince Oct 11, 2000 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1346342805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 LAKEHURST RD",
            "address_2": "SUITE 202 & 204",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558063",
            "telephone_number": "732-349-1201",
            "fax_number": "732-349-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 LAKEHURST RD",
            "address_2": "SUITE 202 & 204",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558063",
            "telephone_number": "732-349-1201",
            "fax_number": "732-349-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEHM",
        "first_name": "KATHRYN",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-03",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "PTDPTQA08925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.