Organization Active NPI

Bohn Physical Therapy LLC

  • Physical Therapist
  • Port Charlotte, FL
National Provider Identifier
1770763914
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9925 Issued in FL
Legal business name
BOHN PHYSICAL THERAPY LLC
Practice address
20101 Peachland Blvd
Ste. 204
Port Charlotte, FL 33954-2180
Phone
(941) 624-6491
NPI assigned
Nov 5, 2007
Last updated
Nov 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Mrs. Mabel Cunanan, PTNPI 1235155771
Title
Therapist
Phone
(941) 624-6491

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9925 FL Primary

Addresses

Primary practice location

20101 Peachland Blvd
Ste. 204
Port Charlotte, FL 33954-2180

Mailing address

20101 Peachland Blvd
Ste. 204
Port Charlotte, FL 33954-2180
Phone (941) 624-6491

National Provider Directory

National Provider Directory

Locations

20101 Peachland Blvd
Unit 204
Pt Charlotte, FL 33954
Phone (941) 624-6491

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1770763914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20101 PEACHLAND BLVD",
            "address_2": "STE. 204",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339542180",
            "telephone_number": "941-624-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20101 PEACHLAND BLVD",
            "address_2": "STE. 204",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339542180",
            "telephone_number": "941-624-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOHN PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "CUNANAN",
        "authorized_official_first_name": "MABEL",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "941-624-6491",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "9925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.