Tavona Boggs, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT008241 Issued in GA

Practice address

2770 Lenox Rd NE
Atlanta, GA 30324-6006

Phone

(404) 264-9553

Fax

(404) 266-2294

NPI assigned

Nov 3, 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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arcade Kings,LLC

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Atlanta, GA
  • NPI 1730209446
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1043399884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5776 VILLAGE LOOP",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302137932",
            "telephone_number": "770-551-5261",
            "fax_number": "770-551-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 LENOX RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303246006",
            "telephone_number": "404-264-9553",
            "fax_number": "404-266-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGS",
        "first_name": "TAVONA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISC NUMBER",
            "identifier": "PT008241",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Favor Bofotola-Akemba, LCSW
• Monique Bogacki
• Sherri Bogard
• Cindy Bogdanoff, DDS
• Robert Paul Boggs
• Nancy Boggus
• Major L Boglin, PH.D.
• Latasha L Bogues, M.D.
• Brittany Nichole Bogusz
• Boh Mental Health LLC

• Physical Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.