Alicia Bogard, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

086219 Issued in IA

Practice address

350 Beaver Kreek Ctr
North Liberty, IA 52317-9237

Phone

(319) 626-8550

NPI assigned

May 18, 2017

Last updated

May 18, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495065600000",
    "number": "1750818829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SADLER LN APT 202",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523177901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BEAVER KREEK CTR",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179237",
            "telephone_number": "319-626-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGARD",
        "first_name": "ALICIA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-18",
        "last_updated": "2017-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IA",
            "license": "086219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raelee Lynn Bird, ARNP
• Blueprint Pediatric Therapy, PLC
• Eric Bockelman
• Kiley Carr Boeding
• Anna Boes
• Anna Boge, L.M.T., M.M.P.
• Miranda Sue Bohlken, LISW
• Justin Bonzato, DPT
• Emily Borgus, AGPCNP
• Brian C. Bowshier, M.D.

• Massage Therapist in North Liberty, IA
• Providers in North Liberty, IA by specialty
• Massage Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2017; 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.