Active NPI
Jason A Bohbot
- Specialist
- Lynnwood, WA
National Provider Identifier
1962636613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA 00015302
- Practice address
- 4300 198TH St SW
Lynnwood, WA 98036-6771 - Phone
- (425) 778-2325
- NPI assigned
- May 11, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA 00015302 | WA | Primary |
Addresses
Primary practice location
4300 198TH St SW
Lynnwood, WA 98036-6771
Mailing address
370 NE Camano Dr
Suite 5 # 283
Camano Island, WA 98282-7279
Phone (206) 877-2937
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA 00015302 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essential Health Massage & Wellness Center, Inc. | Past | Accepting new patients | |
| Bellingham Medical Massage | 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 and National Provider Directory roles.
-
- Massage Therapist
- Bellingham, WA
- NPI 1659675916
-
- Massage Therapist
- Bellingham, WA
- NPI 1699821033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1962636613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 NE CAMANO DR",
"address_2": "SUITE 5 # 283",
"city": "CAMANO ISLAND",
"state": "WA",
"postal_code": "982827279",
"telephone_number": "206-877-2937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 198TH ST SW",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980366771",
"telephone_number": "425-778-2325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHBOT",
"first_name": "JASON",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-11",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA 00015302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.