Timothy Philip Vanbogaert

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2086-19 Issued in WI

Practice address

9047 W Greenfield Ave
West Allis, WI 53214-2808

Phone

(414) 607-0910

Fax

(414) 607-0924

NPI assigned

Feb 18, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1033533773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 W VINE ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123607",
            "telephone_number": "630-542-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9047 W GREENFIELD AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532142808",
            "telephone_number": "414-607-0910",
            "fax_number": "414-607-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBOGAERT",
        "first_name": "TIMOTHY",
        "middle_name": "PHILIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2086-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rama Vaidyanathan, MD
• Marisol Valdez, RN
• Laura Valestin, R.D.
• Batul Valika, MD
• George Vanags, AGNP-C
• Jill Vanderhoef
• Thomas Joseph Vangilder, MD
• Christa A Vargas, M.S.
• Ruby Vazquez
• Colleen M Veenendaal, RN

• Physical Therapy Assistant in West Allis, WI
• Providers in West Allis, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.