Sara Bogotch

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1505 Issued in ND

Practice address

683 State Ave
Dickinson, ND 58601-4660

Phone

(701) 483-9400

NPI assigned

Jun 13, 2016

Last updated

Jun 13, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Omaha Therapy, Inc

  dba Rehab Visions

  • Rehabilitation Clinic/Center
  • Dickinson, ND
  • NPI 1730280371
  NPD (past)

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1053761858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10544 WHEELHOUSE CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281214",
            "telephone_number": "561-445-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 STATE AVE",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586014660",
            "telephone_number": "701-483-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGOTCH",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "1505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syeda Sana Bischoff, FNP
• Bismarck Dentistry PC (Plaza Dental)
• Samuel Edward Bisson, DC
• Gabrielle K Blaine, RD, LRD, CDE
• Teresa Bleich
• Stephanie Barbara Bohan, DPT
• Anastasiia Boiko
• Salva Bokanga
• Sri Puja Bolligarla
• Tonya Boltz, PTA

• Speech-Language Pathologist in Dickinson, ND
• Providers in Dickinson, ND by specialty
• Speech-Language Pathologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.