Active NPI
David N. Bogart, P.T.
- Physical Therapist
- Menlo Park, CA
National Provider Identifier
1376642868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT9643
- Practice address
- 1899 White Oak Dr
Menlo Park, CA 94025-6130 - Phone
- (650) 326-9080
- Fax
- (650) 326-8323
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT9643 | CA | Primary |
Addresses
Primary practice location
1899 White Oak Dr
Menlo Park, CA 94025-6130
Mailing address
1899 White Oak Dr
Menlo Park, CA 94025-6130
Phone (650) 326-9080
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT9643 | CA | MD | Physical Therapist |
| 9643 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David N. Bogart, RPT | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Menlo Park, CA
- NPI 1558460055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1376642868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1899 WHITE OAK DR",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940256130",
"telephone_number": "650-326-9080",
"fax_number": "650-326-8323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1899 WHITE OAK DR",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940256130",
"telephone_number": "650-326-9080",
"fax_number": "650-326-8323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGART",
"first_name": "DAVID",
"middle_name": "N.",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT9643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.