Sandra Boggie

Key facts

NPI

1639984792

Entity type

Individual (NPI type 1)

Primary specialty

Athletic Trainer 2255A2300X

Practice address

3366 Riverside Dr Ste 103
Upper Arlington, OH 43221-1734

Phone

(617) 958-5697

NPI assigned

Feb 7, 2025

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 11, 2025.

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1639984792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 RIVERSIDE DR STE 103",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432211734",
            "telephone_number": "617-958-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 RIVERSIDE DR STE 103",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432211734",
            "telephone_number": "617-958-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGIE",
        "first_name": "SANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Arlington, OH

• Rahul Kumar Biyani, M.D.
• Ryan Edward Blackwell, MD
• Samantha Armstrong Blosser, FNP
• Kevin C. Blubaugh, L.M.T.
• Nicholas Bobinger, DPT
• Bonza Health
• Breanne L Bowers, PT
• Kristen A. Bowersox, CPNP-PC
• Kenneth Andrew Boyle Jr., M.D.
• Lauren Ashley Brackman, DPT

All providers in Upper Arlington, OH · Athletic Trainer in Ohio