Active NPI
Suzanne Stengel Bohn, DPT
- Physical Therapist
- Bethel, CT
National Provider Identifier
1669082608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 011748
- Practice address
- 10B Elizabeth St
Bethel, CT 06801-2100 - Phone
- (203) 778-0720
- NPI assigned
- Aug 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 011748 | CT | Primary |
Addresses
Primary practice location
10B Elizabeth St
Bethel, CT 06801-2100
Mailing address
301 Umpawaug Rd
West Redding, CT 06896-1212
Phone (203) 788-4451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11748 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carlson Therapy Network, PC | Physical Therapist | Current | Accepting new patients |
Locations
816 Broad St
Meriden, CT 06450
Phone (203) 238-1334
6 Shaws Cv
Ste 101
New London, CT 06320
Phone (860) 444-9022
116 Danbury Rd
New Milford, CT 06776
Phone (203) 794-6331
116 Danbury Rd
Ste 5
New Milford, CT 06776
Phone (860) 354-7605
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": "1596499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596499200000",
"number": "1669082608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 UMPAWAUG RD",
"city": "WEST REDDING",
"state": "CT",
"postal_code": "068961212",
"telephone_number": "203-788-4451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10B ELIZABETH ST",
"city": "BETHEL",
"state": "CT",
"postal_code": "068012100",
"telephone_number": "203-778-0720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHN",
"first_name": "SUZANNE",
"middle_name": "STENGEL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-04",
"last_updated": "2020-08-04",
"certification_date": "2020-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "011748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethel, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.