Michael Boman, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT31170 Issued in FL

Practice address

1807 SE 8TH Ave
Cape Coral, FL 33990-2399

Phone

(727) 954-0125

NPI assigned

Dec 7, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mjboman, LLC

  dba The Bridge Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • Cape Coral, FL
  • NPI 1851073449
  Authorized official Same address or phone
• Total Therapy Solutions LLC

  • Rehabilitation Practitioner
  • Monroe, OH
  • NPI 1114973104

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1336514009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 SE 8TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339902399",
            "telephone_number": "727-954-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 SE 8TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339902399",
            "telephone_number": "727-954-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMAN",
        "first_name": "MICHAEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-07",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "FL",
            "license": "PT31170",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT31170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bluewave Chiropractic LLC
• Jacquelyn Boberg, APRN
• Body Essential Massage Inc
• Jacobus Bogaards
• Bohorques Wellness Services LLC
• Dianelys C Bombale Rojas
• Jose Antonio Bombale Rojas
• Jake Bonanno
• Vicki Lynne Bonham, LMHC
• Langeda Bontemps

• Orthopedic Physical Therapist in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Orthopedic Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.