Maribel Linda Boghs, PTA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2009304 Issued in TX

Practice address

2739 Babcock Rd
San Antonio, TX 78229-4811

Phone

(210) 616-3250

NPI assigned

Oct 20, 2017

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

State licenses

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508457600000",
    "number": "1174034862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5803 WEXFORD PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403984",
            "telephone_number": "210-275-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2739 BABCOCK RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294811",
            "telephone_number": "210-616-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGHS",
        "first_name": "MARIBEL",
        "middle_name": "LINDA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-20",
        "last_updated": "2017-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "2009304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dejuanna Bogar
• Miranda Boggan, BT
• Christian Trevor Boggess, OD
• Melissa Shavon Boggs, LPC
• Daniel Boghdadi, DPT
• Christine Marie Bogner, RN
• Kenneth G. Bogner
• William Brock Bohacek
• Lauren Alyson Bohannon, RBT
• Mary Bohne, L.C.S.W.

• Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2017; 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.