Individual provider Active NPI

Dawn Boggan, PT

  • Physical Therapist
  • Columbus, MS
National Provider Identifier
1972805539
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3197 Issued in MS
Practice address
65 Dutch LN
Columbus, MS 39702-5523
Phone
(662) 241-4545
Fax
(662) 241-4025
NPI assigned
Dec 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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 PT3197 MS Primary

Addresses

Primary practice location

65 Dutch LN
Columbus, MS 39702-5523

Mailing address

65 Dutch LN
Columbus, MS 39702-5523
Phone (662) 241-4545

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110104000403 MS Practitioner - Physical Therapist in Private Practice 7416146618 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Drayer Physical Therapy Mississippi LLCGroup PAC ID 3274834858, 113 clinicians

Practice addresses (Care Compare)

24 N Walmart Dr
Suite F
Louisville, MS 39339-6898
Phone (662) 779-1096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Mississippi LLC Physical Therapist CurrentSince May 7, 2018 Accepting new patients
Dpti Elite Physical Therapy LLC Physical Therapist CurrentSince May 7, 2018 Accepting new patients
Dpti Elite Physical Therapy LLC Physical Therapist CurrentSince May 7, 2018 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Past Accepting new patients
Drayer Physical Therapy Mississippi LLC Physical Therapist Past Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

199 N Brookmoore Dr
Columbus, MS 39705
Phone (662) 798-0108

65 Dutch Ln
Columbus, MS 39702
Phone (662) 241-4545

117 Bo Bo Dr
Crystal Springs, MS 39059
Phone (601) 892-6330

24 N Walmart Dr
Ste F
Louisville, MS 39339
Phone (662) 779-1096

4908 Great River Dr
Meridian, MS 39305
Phone (601) 453-3632

2319 Highway 145
Saltillo, MS 38866
Phone (662) 869-9980

513 Academy Rd
Starkville, MS 39759
Phone (662) 268-8013

Organizations & group practices 6

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": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1972805539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 DUTCH LN",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397025523",
            "telephone_number": "662-241-4545",
            "fax_number": "662-241-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 DUTCH LN",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397025523",
            "telephone_number": "662-241-4545",
            "fax_number": "662-241-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGAN",
        "first_name": "DAWN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-02",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT3197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; 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.