Individual provider Active NPI

Robert Bogdon Niklewicz, PT

  • Sports Physical Therapist
  • Napa, CA
National Provider Identifier
1144332875
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
7874 Issued in CA
Practice address
1103 Trancas St
Napa, CA 94558-2907
Phone
(707) 224-3131
Fax
(707) 224-2356
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7874 CA
Ergonomics Physical Therapist 2251E1200X 7874 CA
Geriatric Physical Therapist 2251G0304X 7874 CA
Sports Physical Therapist 2251S0007X 7874 CA Primary
Orthopedic Physical Therapist 2251X0800X 7874 CA

Addresses

Primary practice location

1103 Trancas St
Napa, CA 94558-2907

Mailing address

1038 Woodside Dr
Napa, CA 94558-2024
Phone (707) 253-2865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1144332875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 WOODSIDE DR",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582024",
            "telephone_number": "707-253-2865",
            "fax_number": "707-253-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 TRANCAS ST",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582907",
            "telephone_number": "707-224-3131",
            "fax_number": "707-224-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKLEWICZ",
        "first_name": "ROBERT",
        "middle_name": "BOGDON",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "7874",
            "primary": false
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "CA",
            "license": "7874",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "7874",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "7874",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "7874",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.