Michele Renee Bohland, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

992-019 Issued in WI

Practice address

2540 Humes Rd
Janesville, WI 53546

Phone

(608) 373-2018

NPI assigned

Mar 6, 2008

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": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1447420351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 1/2 HUEBBE PKWY",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535111715",
            "telephone_number": "608-295-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 HUMES RD",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "53546",
            "telephone_number": "608-373-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHLAND",
        "first_name": "MICHELE",
        "middle_name": "RENEE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "992-019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana M. Bloomberg, LICENSED PRACTICAL N
• Jonathan Daniel Boarini, DDS
• Mark Boeche, D.D.S.
• Kathleen M. Boertman, OT
• Mark C Boettcher, MD
• Kristine Ann Bohrmueller, ARNP
• Macy G Bolt, PT
• Korl C. Bomkamp, DPT
• Mary T. Bonaccorsi, APRN, DNP, FNP
• Kathleen O Bond-Crull, CSAC

• Physical Therapy Assistant in Janesville, WI
• Providers in Janesville, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.