Individual provider Active NPI

Tiffany Marie Bogle, DPT

  • Physical Therapist
  • Lebanon, TN
National Provider Identifier
1922467471
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
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
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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 PT10753 TN Primary

Addresses

Primary practice location

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

Mailing address

112 Bradford Blvd
Suite 500
Gordonsville, TN 38563-4600
Phone (615) 683-3010

Other names 1

  • Tiffany Marie McNamee Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160225001976 TN Practitioner - Physical Therapist in Private Practice 6709181985 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT10753TNMDPhysical Therapist
10753TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Inspired PT, LLC Physical Therapist CurrentSince Jan 2, 2025 Accepting new patients
Inspired PT, LLC Physical Therapist CurrentSince Jan 2, 2025 Accepting new patients
Kerry Becht Physical Therapy and Massage, Inc. Physical Therapist CurrentSince Apr 2, 2017 Accepting new patients

Locations

840 N Bluejay Way
Ste 107
Gallatin, TN 37066
Phone (615) 989-0420

230 New Shackle Island Rd
Ste 120
Hendersonvlle, TN 37075
Phone (615) 989-0660

1303 W Baddour Pkwy
Lebanon, TN 37087
Phone (615) 444-1408

1427 W Baddour Pkwy
Ste A
Lebanon, TN 37087
Phone (615) 444-1408

Organizations & group practices 3

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": "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"
        }
    ]
}

Other providers in Lebanon, TN

Sources for this page

  • 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.