Michelle Rae Bogomolny, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

OH004649 Issued in OH

Practice address

4110 Warrensville Center Rd
Building a/Driveway 1
Warrensville Heights, OH 44122-7024

Phone

(216) 491-6180

NPI assigned

May 13, 2014

Last updated

May 13, 2014By the provider in NPPES

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": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1679984660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 WARRENSVILLE CENTER ROAD",
            "address_2": "BUILDING A/DRIVEWAY 1",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-491-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 WARRENSVILLE CENTER RD",
            "address_2": "BUILDING A/DRIVEWAY 1",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441227024",
            "telephone_number": "216-491-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGOMOLNY",
        "first_name": "MICHELLE",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "OH004649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Warrensville Heights, OH
• Providers in Warrensville Heights, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.