Ilse Michelle Bogard, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501016833 Issued in MI

Practice address

1320 W State St Ste 3D
Belding, MI 48809-9245

Phone

(616) 244-1110

NPI assigned

Mar 7, 2018

Last updated

Mar 7, 2018By 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": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1770085557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 W STATE ST STE 3D",
            "city": "BELDING",
            "state": "MI",
            "postal_code": "488099245",
            "telephone_number": "616-244-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 W STATE ST STE 3D",
            "city": "BELDING",
            "state": "MI",
            "postal_code": "488099245",
            "telephone_number": "616-244-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGARD",
        "first_name": "ILSE",
        "middle_name": "MICHELLE",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belding Christian Nursing Home, Inc (Metron of Belding)
• Belding Family Eyecare LLC (Belding Family Eyecare)
• Belding Family Eyecare PLLC (Belding Family Eyecare)
• Belding Sunrise Manor Afc LLC
• Jonathan Caleb Bergen, DC
• Benjamin Roy Bookie, M.A.
• Taylora Bookie
• Olivia Rose Borchers, PA-C
• George Frederick Bothma
• Wendy Leigh Bouwens, OTR/L

• Physical Therapist in Belding, MI
• Providers in Belding, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; 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.