Individual provider Active NPI

Laura Bohman, SLP

  • Speech-Language Pathologist
  • Hamilton, OH
National Provider Identifier
1619455821
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.13435 Issued in OH
Practice address
400 N Erie Hwy Ste a
Hamilton, OH 45011-4264
Phone
(513) 887-3710
NPI assigned
Jul 31, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X COND2018762SP OH
Speech-Language Pathologist 235Z00000X SP.13435 OH Primary

Addresses

Primary practice location

400 N Erie Hwy Ste a
Hamilton, OH 45011-4264

Mailing address

400 N Erie Hwy Ste a
Hamilton, OH 45011-4264
Phone (513) 887-3710

Other practice location 1

3449 Newmark Dr
Miamisburg, OH 45342-5426
Phone (937) 281-1286

Other identifiers 2

IdentifierTypeStateIssuer
2187155MedicaidOH
AB73660731OtherOHMEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
COND2018762SPOHMDSpeech-Language Pathologist
SP.13435OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Pediatric Therapy LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1619455821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N ERIE HWY STE A",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450114264",
            "telephone_number": "513-887-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N ERIE HWY STE A",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450114264",
            "telephone_number": "513-887-3710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3449 Newmark Dr",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453425426",
            "country_code": "US",
            "telephone_number": "937-281-1286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHMAN",
        "first_name": "LAURA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND2018762SP",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.13435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2187155",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "AB73660731",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.