Jennifer Ann Bogulski, PT DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

027452 Issued in NY

Practice address

5268 Briercliff Dr
Hamburg, NY 14075-3438

Phone

(716) 491-3434

Fax

(716) 649-4149

NPI assigned

Jul 6, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Ann Jordan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1013948876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5268 BRIERCLIFF DR",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140753438",
            "telephone_number": "716-491-3434",
            "fax_number": "716-649-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5268 BRIERCLIFF DR",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140753438",
            "telephone_number": "716-491-3434",
            "fax_number": "716-649-4149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4780 S Park Ave",
            "address_purpose": "LOCATION",
            "city": "Hamburg",
            "state": "NY",
            "postal_code": "140751419",
            "country_code": "US",
            "telephone_number": "716-646-9100",
            "fax_number": "716-664-9744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOGULSKI",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "JORDAN",
            "middle_name": "ANN",
            "credential": "PT DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan I Blumenthal, LCSW-R
• Kristina Lorraine Blythe, DPT
• William James Boehm, PA-C
• Anthony Boergers
• Roselind G Bogner, PHD
• Amanda Bolin, LMHC
• Jessica L Bonczar, LMHC
• Tanya Bork, DVM
• Adjo Donaldine Boukari
• Kimberly Ann Bovo, LMT

• All providers in Hamburg, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.