MR. THOMAS JERRY JR. BOHANON (PT) – Physical Therapist, NPI 1780637280

MR. THOMAS JERRY JR. BOHANON (PT) is a healthcare provider. based in Glen allen, Virginia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 2305202912 (VA). The NPI Number for MR. THOMAS JERRY JR. BOHANON (PT) is 1780637280

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
MR. THOMAS JERRY JR. BOHANON (PT)
NPI
1780637280
Phone
(804) 756-8490
Address
5437 WINTERGREEN RD
Enumeration Date
18 May 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8047568490
Graduation Year
2001 (25 years ago)
PAC ID
3173528551
Group Practice PAC ID
3779588256
Professional Enrollment ID
I20060918000170
Address ID
VA232282428RI3001XRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,079 PHYSICAL THERAPIST IN PRIVATE PRACTICE in VA

Provider Addresses for MR. THOMAS JERRY JR. BOHANON (PT)

  • 5437 WINTERGREEN RD

    GLEN ALLEN, VA 230609236

    Phone: (804) 756-8490

    Type: Mailing

  • 3001 HUNGARY SPRING RD

    SUITE D

    RICHMOND, VA 232282428

    Phone: (804) 756-8490

    Fax: (804) 756-8494

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-09-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060918000170IPhysical Therapist In Private PracticeVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes1,06945$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes82743$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes24216$0
97530Therapy procedure using functional activities10439$0
97163Evaluation for physical therapy, typically 45 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 23060)

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Provider's Procedures

MR. THOMAS JERRY JR. BOHANON (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYVA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes131971
PHYSICAL THERAPYVA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes97565

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779588256View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
-VA
Physical Therapist In Private PracticeVA
-MD
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
-VA

Reviews

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Frequently asked questions

What is MR. THOMAS JERRY JR. BOHANON (PT)'s NPI number?
MR. THOMAS JERRY JR. BOHANON (PT)'s NPI is 1780637280 — the number used across U.S. healthcare to identify this provider.
Is MR. THOMAS JERRY JR. BOHANON (PT) still an active registrant?
MR. THOMAS JERRY JR. BOHANON (PT) carries an active NPI according to the public dataset.
How would a patient describe MR. THOMAS JERRY JR. BOHANON (PT)'s focus?
For MR. THOMAS JERRY JR. BOHANON (PT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. THOMAS JERRY JR. BOHANON (PT)?
Travel planning: use Glen Allen, Virginia as the reference point for MR. THOMAS JERRY JR. BOHANON (PT), then confirm.
When was this NPI issued?
Enumeration for MR. THOMAS JERRY JR. BOHANON (PT) is noted as May 18, 2006 where the registry provides it.

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