Melinda S Bohrer, PT, OTR/L

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00003731 Issued in WA

Practice address

6300 9TH Ave NE Ste 360
Seattle, WA 98115-8515

Phone

(206) 523-6826

NPI assigned

Jan 31, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Melinda S Jackson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Action Reaction Physical Therapy, Inc.

  • Physical Therapist
  • Seattle, WA
  • NPI 1053466136
  NPD (past)

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1497051924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6819 17TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981156844",
            "telephone_number": "206-525-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 9TH AVE NE STE 360",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981158515",
            "telephone_number": "206-523-6826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHRER",
        "first_name": "MELINDA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "PT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00003731",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00000455",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELINDA",
            "last_name": "JACKSON",
            "middle_name": "S",
            "prefix": "MS.",
            "credential": "PT, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Philip D Bohn, MSW
• Courtney Bohna, OT
• Danielle Bohonos
• Joseph Bohonos, MD
• Anthony G Bohorfoush III, MD
• Lyubomyr Bohuta, MD, PHD
• Wendy Dumas Boic, SLP
• Patricia E Boiko, MD, MPH
• Leah Boisen, PHD
• Laura Boismenue, LMHC

• All providers in Seattle, WA
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.