Individual provider Active NPI

Courtney Bohna, OT

  • Occupational Therapist
  • Seattle, WA
National Provider Identifier
1790419216
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
61250152 Issued in WA
Practice address
5123 24TH Ave NE Apt 3
Seattle, WA 98105-3232
Phone
(662) 684-9494
NPI assigned
Jul 11, 2022
Last updated
Aug 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 61250152 WA Primary

Addresses

Primary practice location

5123 24TH Ave NE Apt 3
Seattle, WA 98105-3232

Mailing address

5230 15TH Ave NE
Seattle, WA 98105-3402

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL file://dshsflsln5307a/shareddata Health Information Exchange (HIE)

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
61250152WAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1790419216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 15TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5123 24TH AVE NE APT 3",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053232",
            "telephone_number": "662-684-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHNA",
        "first_name": "COURTNEY",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "61250152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "file://dshsflsln5307a/shareddata",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15230 15th Ave NE",
            "city": "Shoreline",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981557130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.