Active NPI
Tiffany Ann Bohm, MPT, DPT
- Physical Therapist
- Merriam, KS
National Provider Identifier
1679709661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-02889
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11-02889 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Solutions LLC | Physical Therapist | Current | Accepting new patients |
| Midwest Chiropractic Center, PA | Past | 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.
-
- Physical Therapist
- Tonganoxie, KS
- NPI 1144579558
-
- Chiropractor
- Tonganoxie, KS
- NPI 1760649610
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.