Jennifer Louise Bohan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE1004286 Issued in PA

Practice address

111 Perrymont Rd
Pittsburgh, PA 15237-5246

Phone

(412) 366-5600

NPI assigned

Dec 29, 2017

Last updated

Dec 29, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514505600000",
    "number": "1407363419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 JAMESON WAY",
            "city": "SEVEN FIELDS",
            "state": "PA",
            "postal_code": "160464323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PERRYMONT RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375246",
            "telephone_number": "412-366-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHAN",
        "first_name": "JENNIFER",
        "middle_name": "LOUISE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-29",
        "last_updated": "2017-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE1004286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcellus Boggs, MD
• Brittany Bogonovich
• Milana Bogorodskaya
• Kristina Bogovich, PH.D.
• Thomas Aaaron Bogue, MD
• Gregory Andrew Bohatch, D.M.D.
• Emily Mae Bohlender, PHARMD
• Marcela Bohm-Velez, M.D.
• Kelsey Bohnert, MRES, MS, CGC
• Mary Bohonak, OTR

• Physical Therapy Assistant in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; 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.