Individual provider Active NPI

David John Boho, OTR

  • Physical Rehabilitation Occupational Therapist
  • Mount Pleasant, WI
National Provider Identifier
1922248236
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
919-026 Issued in WI
Practice address
1320 Warwick Way
Feuk's Fitness
Mount Pleasant, WI 53406-4375
Phone
(262) 497-8798
NPI assigned
Feb 26, 2009
Last updated
Jul 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 919-026 WI Primary

Addresses

Primary practice location

1320 Warwick Way
Feuk's Fitness
Mount Pleasant, WI 53406-4375

Mailing address

3715 Linda LN
Mount Pleasant, WI 53405-4827
Phone (262) 554-9465

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
919-026WIMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Motion Physical Therapy, LLC Past Accepting new patients

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": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1922248236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 LINDA LN",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534054827",
            "telephone_number": "262-554-9465",
            "fax_number": "262-554-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 WARWICK WAY",
            "address_2": "FEUK'S FITNESS",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534064375",
            "telephone_number": "262-497-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHO",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-26",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "WI",
            "license": "919-026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.