Individual provider Active NPI

Madeline C Bohan

  • Occupational Therapy Assistant
  • Wooster, OH
National Provider Identifier
1790649069
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
008910 Issued in OH
Practice address
2714 Akron Rd
Wooster, OH 44691-7933
Phone
(330) 262-4449
Fax
(330) 262-4449
NPI assigned
Dec 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 008910 OH Primary

Addresses

Primary practice location

2714 Akron Rd
Wooster, OH 44691-7933

Mailing address

9175 Spencer Lake Rd
Spencer, OH 44275-9799
Phone (330) 696-8711

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
008910OHMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ej Therapy, Inc. CurrentSince Dec 14, 2025 Accepting new patients
Ej Therapy, Inc. CurrentSince Dec 14, 2025 Accepting new patients

Locations

2714 Akron Rd
Wooster, OH 44691
Phone (330) 262-4449

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1790649069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9175 SPENCER LAKE RD",
            "city": "SPENCER",
            "state": "OH",
            "postal_code": "442759799",
            "telephone_number": "330-696-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2714 AKRON RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917933",
            "telephone_number": "330-262-4449",
            "fax_number": "330-262-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHAN",
        "first_name": "MADELINE",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "008910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.