CMS-1500 Box 24J / 33a • NPI
1902054315
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
225200000X
Licensed & Credentialed Physical Therapy Assistant
Box 32 Service Location & ZIP+4
N6590 FOX LANE, SHAWANO, WI, 54166
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1902054315 (ROBERT JOSEPH BOHR) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1902054315 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ROBERT JOSEPH BOHR |
| Plain-English Specialty | Licensed & Credentialed Physical Therapy Assistant NUCC Code: 225200000X (Physical Therapy Assistant) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | N6590 FOX LANE, SHAWANO, WI, 54166 |
| Practice Telephone / Fax | Tel: (715) 851-4707 |
| Administrative Mailing Address | N6590 FOX LANE, SHAWANO, WI, 54166 |
| Enumeration & Last Sync | Enumerated: 2008-08-28 | CMS Record Updated: 2010-01-14 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (225200000X)
What Does Taxonomy Code 225200000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225200000X translates to:
"Licensed & Credentialed Physical Therapy Assistant"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ROBERT JOSEPH BOHR)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
332B00000X — Durable Medical Equipment & Medical SuppliesPlain English: Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies | State: N/A | License: Verified | Primary: Secondary |
225200000X — Physical Therapy AssistantPlain English: Licensed & Credentialed Physical Therapy Assistant | State: WI | License: 1332-19 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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