Clifford Paul Bogan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P24562 Issued in NC

Practice address

100 Fitness Dr
Fuquay Varina, NC 27526-7263

Phone

(919) 557-3100

NPI assigned

Aug 8, 2023

Last updated

Oct 28, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, NC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Raleigh Orthopaedic Clinic PAGroup PAC ID 9032012638, 125 clinicians

Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.32 of 100Reported as group

Quality

84.44

Promoting interoperability

99

Improvement activities

40

Cost

70.78

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: clifford.bogan.p2@direct.athleticoltd.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Raleigh Orthopaedic Clinic PA

  dba Raleigh Orthopaedic Therapy Services

  • Orthopaedic Surgery Physician
  • Raleigh, NC
  • NPI 1235137563
  Medicare reassignment Care Compare group NPD
• Athletico LTD

  dba Athletico Physical Therapy

  • Physical Therapist
  • Liberty, MO
  • NPI 1114449857
  Medicare reassignment Care Compare group NPD
• Raleigh Orthopaedic Pharmacy

  dba Raleigh Orthopaedic Therapy Services

  • Orthopedic Physical Therapist
  • Raleigh, NC
  • NPI 1497960629
  NPD
• Athletico LTD

  dba Athletico Physical Therapy

  • Clinic/Center
  • Lafayette, IN
  • NPI 1053044867

  Physical Therapist

  NPD
• Athletico LTD

  dba Athletico Physical Therapy

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1821085028
  NPD

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793145600000",
    "number": "1790468676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412313",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FITNESS DR",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275267263",
            "telephone_number": "919-557-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Timber Dr E",
            "address_purpose": "LOCATION",
            "city": "Garner",
            "state": "NC",
            "postal_code": "275296924",
            "country_code": "US",
            "telephone_number": "919-781-4060",
            "fax_number": "919-781-5246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOGAN",
        "first_name": "CLIFFORD",
        "middle_name": "PAUL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-08",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2023033453",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP051697T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P24562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren A Blake, M.ED., CCC-SLP
• Sarah Bloom
• Echo Blum, MSW, LCSW
• BN Healthcare, LLC (Brighton Manor)
• Jennifer L Bock
• Amanda Nicole Boling, MS, BCBA, LBA-NC
• Matthew Eugene Bonaventure, P.A-C
• Sabrina Borriello-Jones, LCSW
• John Andrew Bowman, PHARM.D.
• Isabel Grace Bradsher

• Physical Therapist in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2026; 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.