Individual provider Active NPI

Fruma Batya Bogomilsky, DPT

  • Physical Therapist
  • Miami Beach, FL
National Provider Identifier
1871277004
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
049761-01 Issued in NY
Practice address
4014 Chase Ave Ste 219
Miami Beach, FL 33140-3446
Phone
(305) 527-5564
NPI assigned
Jun 8, 2023
Last updated
Jun 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 049761-01 NY Primary

Addresses

Primary practice location

4014 Chase Ave Ste 219
Miami Beach, FL 33140-3446

Mailing address

4014 Chase Ave Ste 219
Miami Beach, FL 33140-3446
Phone (305) 527-5564

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240122003525 FL Practitioner - Physical Therapist in Private Practice 8224480637 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
049761-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Backman Health and Wellness LLC Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1871277004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 CHASE AVE STE 219",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403446",
            "telephone_number": "305-527-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014 CHASE AVE STE 219",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403446",
            "telephone_number": "305-527-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGOMILSKY",
        "first_name": "FRUMA",
        "middle_name": "BATYA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049761-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.