Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacquelyn Bockoven, PTDPT

Individual provider Orthopedic Physical Therapist · NPI 1669152377

Jacquelyn Bockoven, PTDPT is a Physical Therapist in Private Practice in Cincinnati, Ohio. Qualified in 2023, 3 years ago. Practices with Tria Orthopaedic Center LLC, a 506-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
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Practice location Address checks out

3430 Burnet Ave # 4007
Cincinnati, OH 45229-2833
Phone: (513) 636-4651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X

Record details

NPI number1669152377
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTDPT
Sole proprietorNo
NPI enumeratedJuly 19, 2023
Last updated in NPPESJuly 19, 2023
Certification dateJuly 19, 2023
Mailing address3430 Burnet Ave # 4007, Cincinnati, OH 45229-2833

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Tria Orthopaedic Center Llc — 506 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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