Individual provider Active NPI

Christopher R Bochenek, OTR

  • Occupational Therapist
  • Cincinnati, OH
National Provider Identifier
1659473395
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT01797 Issued in OH
Practice address
6480 Harrison Ave
Suite 301
Cincinnati, OH 45247-7961
Phone
(513) 574-5400
Fax
(513) 574-6222
NPI assigned
Sep 2, 2006
Last updated
Aug 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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 OT01797 OH Primary

Addresses

Primary practice location

6480 Harrison Ave
Suite 301
Cincinnati, OH 45247-7961

Mailing address

6480 Harrison Ave
Suite 301
Cincinnati, OH 45247-7961
Phone (513) 574-5400

Other identifiers 2

IdentifierTypeStateIssuer
311391239OtherOHBWC
2984061MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110427000522 OH Practitioner - Occupational Therapist in Private Practice 5092624551 Reassigns benefits to 1 organization
I20140606001800 KY Practitioner - Occupational Therapist in Private Practice 5092624551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Therapy Source, Inc.Group PAC ID 5193634681, 5 clinicians

Practice addresses (Care Compare)

600 Rodeo Dr
Erlanger, KY 41018-1279
Phone (513) 574-5400

6480 Harrison Ave
Cincinnati, OH 45247-7961

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT01797OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Therapy Source, Inc. Occupational Therapist CurrentSince Sep 1, 2000 Accepting new patients
The Therapy Source, Inc. Occupational Therapist CurrentSince Sep 1, 2000 Accepting new patients
The Therapy Source, Inc. Occupational Therapist CurrentSince Sep 1, 2000 Accepting new patients
The Therapy Source, Inc. PastSince Sep 1, 2000 Accepting new patients
Freiberg Orthopaedics & Sports Medicine Past Accepting new patients

Locations

600 Rodeo Dr
Erlanger, KY 41018
Phone (513) 574-5400

463 Ohio Pike
Ste 201
Cincinnati, OH 45255
Phone (513) 574-5400

6480 Harrison Ave
Ste 301
Cincinnati, OH 45247
Phone (513) 574-5400

500 E Business Way
Sharonville, OH 45241
Phone (513) 251-7827

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1659473395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 HARRISON AVE",
            "address_2": "SUITE 301",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477961",
            "telephone_number": "513-574-5400",
            "fax_number": "513-574-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6480 HARRISON AVE",
            "address_2": "SUITE 301",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477961",
            "telephone_number": "513-574-5400",
            "fax_number": "513-574-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCHENEK",
        "first_name": "CHRISTOPHER",
        "middle_name": "R",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT01797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "311391239",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2984061",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.