Individual provider Active NPI

Daniel Ryan Bogart, MPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1649438458
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
030294 Issued in NY
Practice address
490 Driggs Ave
Brooklyn, NY 11211-2019
Phone
(718) 230-1180
NPI assigned
May 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6684 SC
Physical Therapist 225100000X 030294 NY Primary

Addresses

Primary practice location

490 Driggs Ave
Brooklyn, NY 11211-2019

Mailing address

1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
Phone (914) 294-4050

Other practice location 1

439 Channel Rd
Suite 102
Lake Wylie, SC 29710-6102
Phone (803) 746-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080709000402 NY Practitioner - Physical Therapist in Private Practice 1557433406 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5 N Greenwich Rd
Armonk, NY 10504-2311
Phone (914) 202-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030294NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Proclinix Sports Physical Therapy Chiropractic Wellness,PLLC Physical Therapist CurrentSince Jul 1, 2023 Accepting new patients
Advantage Physical & Occupational Therapy PLLC Physical Therapist CurrentSince Aug 21, 2020 Accepting new patients
Advantagecare Physicians PC CurrentSince Sep 15, 2017 Accepting new patients
Advantagecare Physicians PC CurrentSince Sep 15, 2017 Accepting new patients
Sports Physical Therapy of New York, P.C. Physical Therapist PastSince Dec 11, 2013 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Past Accepting new patients
Perform Physical Therapy and Pilates PLLC PastSince Nov 1, 2006 Accepting new patients
Ivyrehab Focus, Inc. Physical Therapist PastSince Mar 1, 2009 Accepting new patients
Ivyrehab Focus, Inc. Past Accepting new patients

Locations

1 Elm St
Ardsley, NY 10502
Phone (914) 801-8811

5 N Greenwich Rd
Armonk, NY 10504
Phone (914) 207-7337

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

14015 Sanford Ave
Flushing, NY 11355
Phone (718) 670-6400

350 S Broadway
Hicksville, NY 11801
Phone (516) 733-8085

1385 Boston Post Rd
Larchmont, NY 10538
Phone (914) 315-1800

3175 23rd St
Long Island City, NY 11106
Phone (718) 956-2200

534 W 112th St
Unit 250872
New York, NY 10025
Phone (516) 368-2829

175 Tompkins Ave
Pleasantville, NY 10570
Phone (914) 495-3655

134 Marble Ave
Pleasantville, NY 10570
Phone (914) 690-7527

371 S Broadway
Tarrytown, NY 10591
Phone (914) 207-7337

354 Downing Dr
Yorktown Hts, NY 10598
Phone (914) 248-1612

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1649438458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 MOTOR PKWY STE 307",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495258",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 DRIGGS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112112019",
            "telephone_number": "718-230-1180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "439 Channel Rd",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Lake Wylie",
            "state": "SC",
            "postal_code": "297106102",
            "country_code": "US",
            "telephone_number": "803-746-7800",
            "fax_number": "803-746-7807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOGART",
        "first_name": "DANIEL",
        "middle_name": "RYAN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6684",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.