Rasika Bogle, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA0000007314 Issued in TN

Practice address

1003C Spain Ave
Nashville, TN 37216-3626

Phone

(352) 231-1589

NPI assigned

Sep 24, 2020

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

• Rasika Blackledge Other name

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": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1033726971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003C SPAIN AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372163626",
            "telephone_number": "352-231-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003C SPAIN AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372163626",
            "telephone_number": "352-231-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGLE",
        "first_name": "RASIKA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "PTA0000007314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RASIKA",
            "last_name": "BLACKLEDGE",
            "credential": "PTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jackson Boggs, PT, DPT
• Natalie Gail Boggs, APRN-CNP
• Mary Buford Boggus, AG-ACNP-BC, MSN,RNFA
• Dylan Shane Bogle, DO
• Mike Bogle
• Andrew Fones Bognanno, M.D.
• Jaclyn Bogner, PHD
• Robert Stephen Boh, DMD
• Taylor Bohanan
• Betty Bohannon, CRNA

• Physical Therapy Assistant in Nashville, TN
• Providers in Nashville, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.