NPIMap

Organization Active NPI

Kristen a. E. Bohan, Inc.

  • Clinic/Center
  • Sarasota, FL
National Provider Identifier
1679748867
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KRISTEN A. E. BOHAN, INC.
Practice address
7333 International Place
Sarasota, FL 34240
Phone
(941) 500-2333
Fax
(888) 411-9766
NPI assigned
Apr 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Mrs. Kristen Anne Bohan, OTR/LNPI 1700928306
Title
Owner
Phone
(941) 500-2333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT4183 FL
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X OT4183 FL
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

7333 International Place
Sarasota, FL 34240

Mailing address

7333 International Place
Sarasota, FL 34240
Phone (941) 500-2333

Other practice location 1

5218 Paylor Ln
Sarasota, FL 34240-2204
Phone (941) 545-3744

Other identifiers 2

IdentifierTypeStateIssuer
019315900MedicaidFL
892176800MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL businessaddress

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1679748867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7333 INTERNATIONAL PLACE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34240",
            "telephone_number": "941-500-2333",
            "fax_number": "888-411-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7333 INTERNATIONAL PLACE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34240",
            "telephone_number": "941-500-2333",
            "fax_number": "888-411-9766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5218 Paylor Ln",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342402204",
            "country_code": "US",
            "telephone_number": "941-545-3744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KRISTEN A. E. BOHAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "BOHAN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-500-2333",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT4183",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT4183",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019315900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "892176800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "businessaddress",
            "affiliation": "N",
            "address_1": "7333 International Place",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "34240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.