Active NPI
Tracie Boehmlehner, PT, DPT
- Physical Therapist
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 30736
- Practice address
- 8275 N Silverbell Rd Ste 113
Tucson, AZ 85743-5307 - Phone
- (520) 382-8202
- Fax
- (520) 784-6575
- NPI assigned
- Jun 21, 2019
- 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 | 30736 | AZ | Primary |
Addresses
Primary practice location
8275 N Silverbell Rd Ste 113
Tucson, AZ 85743-5307
Mailing address
15410 S Mountain Pkwy Ste 112
Phoenix, AZ 85044-6691
Phone (480) 689-5509
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 544994 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, WI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190924001201 | AZ | Practitioner - Physical Therapist in Private Practice | 7012247752 | Reassigns benefits to 1 organization |
| I20251016003994 | WI | Practitioner - Physical Therapist in Private Practice | 7012247752 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Capitol Physical Therapy Specialists LLC
Practice addresses (Care Compare)
416 E Verona Ave
Verona, WI 53593-1227
Phone (608) 848-6628
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.6 of 100
- Promoting interoperability
- 96
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30736 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capitol Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Tucson Orthopaedic Institute Professional Corporation | Physical Therapist | Current | Accepting new patients |
| Capitol Physical Therapy Specialists LLC | Physical Therapist | Current | Accepting new patients |
| Tucson Orthopaedic Institute Professional Corporation | Physical Therapist | Current | Accepting new patients |
Locations
12315 N Vistoso Park Rd
Oro Valley, AZ 85755
Phone (520) 382-8180
8275 N Silverbell Rd
Ste 113
Tucson, AZ 85743
Phone (520) 382-8202
6320 N La Cholla Blvd
Ste 200
Tucson, AZ 85741
1215 Springdale St
Mount Horeb, WI 53572
Phone (608) 437-0222
416 E Verona Ave
Verona, WI 53593
Phone (608) 848-6628
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Verona, WI
- NPI 1184286932
Physical Therapist, WI
-
- Orthopaedic Surgery Physician
- Tucson, AZ
- NPI 1437193265
AZ, Physical Therapist
-
- Orthopaedic Surgery Physician
- Tucson, AZ
- NPI 1609328350
Physical Therapist
-
- Physical Therapist
- Verona, WI
- NPI 1104846542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597708800000",
"number": "1730740705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15410 S MOUNTAIN PKWY STE 112",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850446691",
"telephone_number": "480-689-5509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8275 N SILVERBELL RD STE 113",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857435307",
"telephone_number": "520-382-8202",
"fax_number": "520-784-6575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOEHMLEHNER",
"first_name": "TRACIE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-21",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "30736",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "544994",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.