Individual provider Active NPI

Tracie Boehmlehner, PT, DPT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1730740705
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30736 Issued in AZ
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

Updated by the provider on Aug 18, 2020

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 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

IdentifierTypeStateIssuer
544994MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 24 clinicians

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 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30736AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol Physical Therapy LLC Physical Therapist CurrentSince Sep 11, 2025 Accepting new patients
Tucson Orthopaedic Institute Professional Corporation Physical Therapist CurrentSince Jun 15, 2020 Accepting new patients
Capitol Physical Therapy Specialists LLC Physical Therapist CurrentSince Sep 11, 2025 Accepting new patients
Tucson Orthopaedic Institute Professional Corporation Physical Therapist CurrentSince Jun 15, 2020 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.

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.

Verify at the official NPI Registry.