Individual provider Active NPI

Thomas Jerry Bohanon Jr., PT

  • Physical Therapist
  • Richmond, VA
National Provider Identifier
1780637280
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305202912 Issued in VA
Practice address
3001 Hungary Spring Rd
Suite D
Richmond, VA 23228-2428
Phone
(804) 756-8490
Fax
(804) 756-8494
NPI assigned
May 18, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 2305202912 VA Primary

Addresses

Primary practice location

3001 Hungary Spring Rd
Suite D
Richmond, VA 23228-2428

Mailing address

5437 Wintergreen Rd
Glen Allen, VA 23060-9236
Phone (804) 756-8490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060918000170 VA Practitioner - Physical Therapist in Private Practice 3173528551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progress Rehabilitation Network LLCGroup PAC ID 3779588256, 31 clinicians

Practice addresses (Care Compare)

3001 Hungary Spring Rd
Suite D
Richmond, VA 23228-2428
Phone (804) 756-8490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305202912VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progress Rehabilitation Network LLC Physical Therapist CurrentSince Jun 13, 2006 Accepting new patients
Progress Rehabilitation Network, LLC Physical Therapist Past Accepting new patients

Locations

5300 Hickory Park Dr
Ste 110
Glen Allen, VA 23059
Phone (804) 270-7754

3001 Hungary Spring Rd
Ste D
Richmond, VA 23228
Phone (804) 756-8490

5711 S Laburnum Ave
Richmond, VA 23231
Phone (804) 447-5355

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1780637280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5437 WINTERGREEN RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609236",
            "telephone_number": "804-756-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 HUNGARY SPRING RD",
            "address_2": "SUITE D",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232282428",
            "telephone_number": "804-756-8490",
            "fax_number": "804-756-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHANON",
        "first_name": "THOMAS",
        "middle_name": "JERRY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305202912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.