Individual provider Active NPI

Abigail Bogovich

  • Physical Therapist
  • Natick, MA
National Provider Identifier
1962269639
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL27424 Issued in MA
Practice address
203 Oak St
Natick, MA 01760-1344
Phone
(508) 651-0051
Fax
(508) 651-0061
NPI assigned
Feb 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 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 PTL27424 MA Primary

Addresses

Primary practice location

203 Oak St
Natick, MA 01760-1344

Mailing address

203 Oak St
Natick, MA 01760-1344
Phone (508) 651-0051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240315003221 MA Practitioner - Physical Therapist in Private Practice 9537505292 Reassigns benefits to 1 organization
I20250326000426 PA Practitioner - Physical Therapist in Private Practice 9537505292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Motive Sports and Physical Therapy, PLLCGroup PAC ID 1456688621, 7 clinicians

Practice addresses (Care Compare)

91 Wilmington W Chester Pike
Suite 10
Chadds Ford, PA 19317-9082
Phone (610) 991-0493

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL27424MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Motive Sports and Physical Therapy, PLLC Physical Therapist CurrentSince Mar 10, 2025 Accepting new patients
Rebound Physical Therapy LLC CurrentSince Feb 12, 2024 Accepting new patients
Motive Sports and Physical Therapy Malvern, LLC Physical Therapist CurrentSince Mar 10, 2025 Accepting new patients
Rebound Physical Therapy LLC Physical Therapist CurrentSince Feb 12, 2024 Accepting new patients

Locations

203 Oak St
Natick, MA 01760
Phone (508) 647-3200

91 Wilmington W Chester Pike
Ste 28
Chadds Ford, PA 19317
Phone (302) 584-5621

91 Wilmington W Chester Pike
Ste 10
Chadds Ford, PA 19317
Phone (610) 991-0493

101 Lindenwood Dr
Ste 225
Malvern, PA 19355
Phone (610) 504-4476

480 Lancaster Ave
Unit 4
Malvern, PA 19355
Phone (610) 500-5296

280 N Providence Rd
Ste 100
Media, PA 19063
Phone (610) 424-5800

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1962269639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 OAK ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601344",
            "telephone_number": "508-651-0051",
            "fax_number": "508-651-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 OAK ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601344",
            "telephone_number": "508-651-0051",
            "fax_number": "508-651-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGOVICH",
        "first_name": "ABIGAIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL27424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.