Ryan E Bogrette, DPT
Physical Therapist in South Boston, Massachusetts
1265163315- Practice location
- 379 W Broadway, South Boston, MA 02127-2217
- Phone
- 617-968-3999
- Fax
- 617-752-4127
- Last updated
- March 1, 2024
Ryan Edmund Bogrette is a Physical Therapist based in South Boston, MA. Ryan Edmund Bogrette practices in South Boston, MA and has the professional credentials of DPT. The NPI Number for Ryan Edmund Bogrette is 1265163315 and holds a License No. 26241 (MA). The current practice location address for Ryan Edmund Bogrette is 379 W Broadway, South Boston, MA 02127-2217 and can be reached out via phone at 617-968-3999 and via fax at 617-752-4127.
Provider Profile Details
- NPI Number
- 1265163315
- Provider Name
- Ryan Edmund Bogrette
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 379 W Broadway, South Boston, MA 02127-2217
- Phone Number
- 617-968-3999
- Fax Number
- 617-752-4127
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 20, 2022
- Last Update Date
- March 1, 2024
- Certification Date
- March 1, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 379 W Broadway
South Boston, MA 02127-2217 - City
- South Boston
- State
- Massachusetts
- Zip
- 02127-2217
- Phone Number
- 617-968-3999
- Fax Number
- 617-752-4127
Provider Business Mailing Address Details
- Address
- 790 Remington Blvd
Bolingbrook, IL 60440-4909 - City
- Bolingbrook
- State
- IL
- Zip
- 60440-4909
License Information
- License Number (1)
- 26241
- License State (1)
- MA
- Taxonomy (1)
- Physical Therapist · 225100000X · Primary
- License State (2)
- CT
- Taxonomy (2)
- Physical Therapist · 225100000X
- License State (3)
- CT
- Taxonomy (3)
- Student in an Organized Health Care Education/Training Program · 390200000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ryan E Bogrette, DPT?
The NPI number of Ryan E Bogrette, DPT is 1265163315. It was assigned on June 20, 2022 and is currently active in the NPPES registry.
What is the specialty of Ryan E Bogrette, DPT?
Ryan E Bogrette, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 26241.
Where does Ryan E Bogrette, DPT practice?
The practice location is 379 W Broadway, South Boston, MA 02127-2217. The office can be reached at 617-968-3999 (phone) or 617-752-4127 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265163315 directly on the NPPES registry website.