Individual provider Active NPI

Tiffany Ann Bohm, MPT, DPT

  • Physical Therapist
  • Merriam, KS
National Provider Identifier
1679709661
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-02889 Issued in KS
Practice address
6700 Antioch Rd Ste 430
Merriam, KS 66204-1278
Phone
(913) 652-9229
NPI assigned
Jun 3, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-02889 KS Primary

Addresses

Primary practice location

6700 Antioch Rd Ste 430
Merriam, KS 66204-1278

Mailing address

6700 Antioch Rd Ste 430
Merriam, KS 66204-1278
Phone (913) 652-9229

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-02889KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Solutions LLC Physical Therapist CurrentSince May 24, 2013 Accepting new patients
Midwest Chiropractic Center, PA PastSince May 24, 2013 Accepting new patients

Locations

1202 Front St
Tonganoxie, KS 66086
Phone (913) 208-8817

Organizations & group practices 2

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": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1679709661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 ANTIOCH RD STE 430",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662041278",
            "telephone_number": "913-652-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 ANTIOCH RD STE 430",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662041278",
            "telephone_number": "913-652-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHM",
        "first_name": "TIFFANY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MPT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-02889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merriam, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.