Henry Bogart (NPI# 1962930172, PAC ID# 3971873027) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1962930172 |
| PAC ID by PECOS | 3971873027 |
| Professional Enrollment ID | I20170721001430 |
| Full Name | Henry Bogart |
| Organization Legal Name | AGILITY SPINE AND SPORTS PHYSICAL THERAPY AND REHABILITATION LP |
| Address |
1880 W Orange Grove Rd Tucson AZ 85704-1129 |
| Phone Number | 5207972090 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9335416932 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1880 W Orange Grove Rd, Tucson, AZ 85704-1129 | 5207972090 | AGILITY SPINE AND SPORTS PHYSICAL THERAPY AND REHABILITATION LP |
| Organization Legal Name | AGILITY SPINE AND SPORTS PHYSICAL THERAPY AND REHABILITATION LP |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cortino L Darden | Physical Therapy | Agility Spine and Sports Physical Therapy and Rehabilitation Lp | 6206 E Pima St, Suite 3, Tucson, AZ 85712-7001 |
| Kristen Patenaude | Physical Therapy | Agility Spine and Sports Physical Therapy and Rehabilitation Lp | 7355 S Houghton Rd, Suite 109, Tucson, AZ 85747-9380 |
| Kristen Taranto Humphries | Physical Therapy | Agility Spine and Sports Physical Therapy and Rehabilitation Lp | 1880 W Orange Grove Rd, Tucson, AZ 85704-1129 |
| Alyssa Zenner | Physical Therapy | Agility Spine and Sports Physical Therapy and Rehabilitation Lp | 1777 W Saint Marys Rd, Tucson, AZ 85745-2687 |
| Mark Roberts | Physical Therapy | Agility Spine and Sports Physical Therapy and Rehabilitation Lp | 8987 E Tanque Verde Rd, Suite 301, Tucson, AZ 85749-9610 |
| Andres Ochoa | Physical Therapy | Agility Spine and Sports Physical Therapy and Rehabilitation Lp | 1605 E River Rd, Suite 201, Tucson, AZ 85718-5973 |
| Thomas R Sanderson | Physical Therapy | Agility Spine and Sports Physical Therapy and Rehabilitation Lp | 1777 W Saint Marys Rd, Tucson, AZ 85745-2687 |
| Jodi A Sawicki Roberts | Physical Therapy | Agility Spine and Sports Physical Therapy and Rehabilitation Lp | 8987 E Tanque Verde Rd, Suite 301, Tucson, AZ 85749-9610 |
| Marissa Ann Bunge | Physical Therapy | Agility Spine and Sports Physical Therapy and Rehabilitation Lp | 1777 W Saint Marys Rd, Tucson, AZ 85745-2687 |
| Jacob Lashot | Physical Therapy | Agility Spine and Sports Physical Therapy and Rehabilitation Lp | 1777 W Saint Marys Rd, Tucson, AZ 85745-2687 |
| Street Address |
1880 W ORANGE GROVE RD |
| City | TUCSON |
| State | AZ |
| Zip | 85704-1129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Taranto Humphries | Physical Therapy | Agility Spine and Sports Physical Therapy and Rehabilitation Lp | 1880 W Orange Grove Rd, Tucson, AZ 85704-1129 |
| Alexis Nicole Bernays | Physical Therapy | Agility Spine and Sports Physical Therapy and Rehabilitation Lp | 1880 W Orange Grove Rd, Tucson, AZ 85704-1129 |
| Carol Dickman | Physical Therapy | Agility Spine and Sports Physical Therapy and Rehabilitation Lp | 1880 W Orange Grove Rd, Tucson, AZ 85704-1129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie L Teubner | Nurse Practitioner | Sonora Behavioral Health Hospital LLC | 6050 N Corona Rd, Tucson, AZ 85704-1096 |
| Mohamed Coulibaly Dit Fall | Nurse Practitioner | Sonora Behavioral Health Hospital LLC | 6050 N Corona Rd, Tucson, AZ 85704-1096 |
| Jeneane M Keller | Nurse Practitioner | Sonora Behavioral Health Hospital LLC | 6050 N Corona Rd, Tucson, AZ 85704-1096 |
| Elisa N Gumm | Psychiatry | Sonora Behavioral Health Hospital LLC | 6050 N Corona Rd, Tucson, AZ 85704-1096 |
| Kim A Greenwood | Nurse Practitioner | Sonora Behavioral Health Hospital LLC | 6050 N Corona Rd, Tucson, AZ 85704-1096 |
| Timothy R Berigan | Psychiatry | Sonora Behavioral Health Hospital LLC | 6050 N Corona Rd, Tucson, AZ 85704-1096 |
| Victoria O Soyannwo | Psychiatry | Sonora Behavioral Health Hospital LLC | 6050 N Corona Rd, Tucson, AZ 85704-1096 |
| Rainier Jose Diaz | Psychiatry | Sonora Behavioral Health Hospital LLC | 6050 N Corona Rd, Tucson, AZ 85704-1096 |
| Baldassarre Stea | Radiation Oncology | Banner University Medical Group | 1891 W Orange Grove Rd, Tucson, AZ 85704-1116 |
| Mohammad R Khreiss | Surgical Oncology | Banner University Medical Group | 1891 W Orange Grove Rd, Bldg 1, Tucson, AZ 85704-1116 |
| Find all physicians in zip 85704 | |||
| City | TUCSON |
| Zip Code | 85704 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | TUCSON + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.