Sara Bohlen, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202010853 Issued in VA

Practice address

3412 11TH St S
Arlington, VA 22204-2494

Phone

(631) 835-7401

NPI assigned

Dec 20, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Bloom Speech Therapy, PLLC

  • Speech-Language Pathologist
  • Arlington, VA
  • NPI 1295540672
  NPD Authorized official

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1497563522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ROBERTA LN",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253816",
            "telephone_number": "631-835-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3412 11TH ST S",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222042494",
            "telephone_number": "631-835-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHLEN",
        "first_name": "SARA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "033066",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202010853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchel Darvin Bodden II, PHARMD
• Body Connect Physical Therapy
• Karl Samuel Boehm
• Rebecca Bogdanovich-Valdes
• Barbara Bohacova, PHARMD
• Brian John Boland, MD
• Gabrielle Bomberg
• Colby Bommer
• Taylor Bonanni, PSY. D.
• Bondanza Psychological Services

• Speech-Language Pathologist in Arlington, VA
• Providers in Arlington, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.