Tiffany Marie Bogle, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT10753 Issued in TN

Practice address

1427 W Baddour Pkwy Ste a
Lebanon, TN 37087-3062

Phone

(615) 444-1408

Fax

(615) 444-1393

NPI assigned

Feb 12, 2016

Sex

Male

Sole proprietor

No

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

• Inspired PT, LLC

  • Physical Therapist
  • Hendersonville, TN
  • NPI 1487377669
  Medicare reassignment NPD
• Inspired PT, LLC

  • Physical Therapy Clinic/Center
  • Gallatin, TN
  • NPI 1356041149

  Physical Therapist

  NPD
• Kerry Becht Physical Therapy and Massage, Inc.

  • Physical Therapist
  • Lebanon, TN
  • NPI 1871785576
  NPD

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

• Tiffany Marie McNamee Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 12, 2024.

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1922467471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BRADFORD BLVD",
            "address_2": "SUITE 500",
            "city": "GORDONSVILLE",
            "state": "TN",
            "postal_code": "385634600",
            "telephone_number": "615-683-3010",
            "fax_number": "615-683-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 W BADDOUR PKWY STE A",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873062",
            "telephone_number": "615-444-1408",
            "fax_number": "615-444-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGLE",
        "first_name": "TIFFANY",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT10753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "MCNAMEE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Rose Black
• Matthew Elisha Black
• Kristy M Blaney, RN, APRN
• Jaime Christen Blaylock, APRN-C
• Laura F Boggan, MS NCP
• Nick Boles
• Heather Diana Bolton, PA
• Carolyn Lee Bond, NP-C
• Tyler Bott, DPT
• Botts Diabetes & Endocrinology

• All providers in Lebanon, TN
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.