Individual provider Active NPI

Margaret Jean Bohnert, OT

  • Occupational Therapist
  • Davenport, IA
National Provider Identifier
1508397589
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056011916 Issued in IL
Practice address
1008 W 35TH St
Davenport, IA 52806-5827
Phone
(563) 362-0060
NPI assigned
Mar 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056011916 IL Primary

Addresses

Primary practice location

1008 W 35TH St
Davenport, IA 52806-5827

Mailing address

850 43Rd Ave Ste 100
Moline, IL 61265-8401
Phone (309) 743-2070

Other names 1

  • Morgaret Verdun Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190925001267 IA Practitioner - Occupational Therapist in Private Practice 1153651781 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056011916ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rock Valley Physical Therapy Center Occupational Therapist CurrentSince Sep 30, 2019 Accepting new patients
Rock Valley Physical Therapy Center Occupational Therapist CurrentSince Sep 30, 2019 Accepting new patients
Children'S Therapy Center of the Quad Cities Occupational Therapist PastSince Oct 6, 2024 Accepting new patients

Locations

1008 W 35th St
Davenport, IA 52806
Phone (563) 324-2263

2109 Cedarwood Dr
Stop 1
Muscatine, IA 52761
Phone (563) 288-6787

400 Ovesen Dr
Wilton, IA 52778
Phone (563) 732-2121

850 43rd Ave
Ste 100
Moline, IL 61265
Phone (309) 743-2070

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1508397589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 43RD AVE STE 100",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612658401",
            "telephone_number": "309-743-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 W 35TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528065827",
            "telephone_number": "563-362-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHNERT",
        "first_name": "MARGARET",
        "middle_name": "JEAN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056011916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORGARET",
            "last_name": "VERDUN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.