Donna Bogdan Cordova, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

10411 Issued in MA

Practice address

450 Lowell St
Andover, MA 01810-5305

Phone

(978) 475-4056

Fax

(978) 475-4046

NPI assigned

Feb 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Donna Bogdan Former 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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043355746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 EMERY DR",
            "city": "ATKINSON",
            "state": "NH",
            "postal_code": "038112157",
            "telephone_number": "603-362-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 LOWELL ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018105305",
            "telephone_number": "978-475-4056",
            "fax_number": "978-475-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "DONNA",
        "middle_name": "BOGDAN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MA",
            "license": "10411",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NH",
            "license": "1834",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS - BLUE SHIELD",
            "identifier": "Y68586",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "BOGDAN",
            "prefix": "MS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Traci Connor, LMHC
• Matthew S Conway, PSYD
• Rachel Alyssa Cook, DDS
• Kathrine A Corbett, LMHC
• Lindsay Corcoran, LICS
• Christine Cornette, LICSW
• Kelly E Costello, LCSW
• Amanda Lee Cote
• Carolyn Coulter
• Counseling and Conflict Resolution Services

• Pediatric Physical Therapist in Andover, MA
• Providers in Andover, MA by specialty
• Pediatric Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.