Active NPI
Derek Boeh, DPT
- Physical Therapist
- Mason, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 012701
- Practice address
- 6020 S Mason Montgomery Rd
Mason, OH 45040-3706 - Phone
- (513) 204-6490
- Fax
- (513) 204-6499
- NPI assigned
- Apr 30, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 012701 | OH | Primary |
Addresses
Primary practice location
6020 S Mason Montgomery Rd
Mason, OH 45040-3706
Mailing address
4685 Forest Ave C
Cincinnati, OH 45212-3359
Phone (513) 853-4731
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 865-2246
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012701 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trihealth G, LLC | Current | Accepting new patients | |
| Trihealth H LLC | Physical Therapist | Current | Accepting new patients |
| Trihealth G LLC | Current | Accepting new patients | |
| Trihealth Physician Institute | Past | Accepting new patients |
Locations
2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200
9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750
8311 Montgomery Rd
Cincinnati, OH 45236
Phone (513) 246-2300
375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452
6020 S Mason Montgomery Rd
Mason, OH 45040
Phone (513) 204-6490
10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206
4685 Forest Ave
Ste C
Norwood, OH 45212
Phone (513) 246-7796
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1295862944
-
- Community/Retail Pharmacy
- Cincinnati, OH
- NPI 1184023640
-
- Nurse Practitioner
- Cincinnati, OH
- NPI 1922051697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440979200000",
"number": "1346627221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4685 FOREST AVE C",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452123359",
"telephone_number": "513-853-4731",
"fax_number": "513-852-8525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6020 S MASON MONTGOMERY RD",
"city": "MASON",
"state": "OH",
"postal_code": "450403706",
"telephone_number": "513-204-6490",
"fax_number": "513-204-6499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOEH",
"first_name": "DEREK",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-30",
"last_updated": "2015-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "012701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.