Active NPI
Susan Elizabeth Boehm, PT
- Physical Therapist
- Aurora, CO
National Provider Identifier
1700867256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2275
- Practice address
- 3449 Chambers Rd Ste B
Aurora, CO 80011-1329 - Phone
- (720) 859-6139
- Fax
- (720) 859-3294
- NPI assigned
- Nov 10, 2005
- 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 | 2275 | CO | Primary |
Addresses
Primary practice location
3449 Chambers Rd Ste B
Aurora, CO 80011-1329
Mailing address
3449 Chambers Rd Ste B
Aurora, CO 80011-1329
Phone (720) 859-6139
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 |
|---|---|---|---|
| 2275 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chynoweth Hill and Leavitt LLC | Physical Therapist | Past | Accepting new patients |
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.
-
- Multi-Specialty Clinic/Center
- Las Vegas, NV
- NPI 1164415279
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417478400000",
"number": "1700867256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3449 CHAMBERS RD STE B",
"city": "AURORA",
"state": "CO",
"postal_code": "800111329",
"telephone_number": "720-859-6139",
"fax_number": "720-859-3294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3449 CHAMBERS RD STE B",
"city": "AURORA",
"state": "CO",
"postal_code": "800111329",
"telephone_number": "720-859-6139",
"fax_number": "720-859-3294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOEHM",
"first_name": "SUSAN",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-10",
"last_updated": "2014-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "2275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.