Michael K. E. Bogden, PT, DPT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

PT.012841 Issued in OH

Practice address

533 Vineland Rd
Bay Village, OH 44140-2873

Phone

(419) 366-3163

NPI assigned

May 19, 2014

Last updated

Aug 27, 2025By 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 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Omnia Function LLC

  dba FWDfuel Health Optimization

  • Sports Dietetics Nutrition Registered Dietitian
  • Bay Village, OH
  • NPI 1255210100
  NPD Authorized official

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1962813493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 VINELAND RD",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441402873",
            "telephone_number": "419-366-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 VINELAND RD",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441402873",
            "telephone_number": "419-366-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGDEN",
        "first_name": "MICHAEL",
        "middle_name": "K. E.",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-19",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.012841",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "OH",
            "license": "PT012841",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "PT.012841",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "OH",
            "license": "PT.012841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay Village Counseling, LLC
• Bayview Hospice LLC (O'Neill Healthcare Hospice)
• Abigail Beauchesne
• Ashley Michelle Beier, APRN
• Olivia Bird
• Latoya C Bonilla, LPN
• Heidi Nichole Booth, LPCC
• Bradley Bay Health Center (Bradley Bay - Laboratory)
• Bradley Road Nursing Home, Inc. (Bradley Bay Health Center)
• C.Malcmacher

• Sports Physical Therapist in Bay Village, OH
• Providers in Bay Village, OH by specialty
• Sports Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.