| Dr James Ryan Bogdanovich, DPT | |
| 
					3191 Mission Inn Ave Ste B, Riverside, CA 92507-4188  | |
| (951) 684-2874 | |
| (951) 684-2980 | 
| Full Name | Dr James Ryan Bogdanovich | 
|---|---|
| Gender | Male | 
| Speciality | Physical Therapist | 
| Location | 3191 Mission Inn Ave Ste B, Riverside, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1922864222 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | PT305629 (California) | Primary | 
| Provider Name | Marketplace Physical Therapy Inc, A Professional Corporation | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1285190942 PECOS PAC ID: 0244572964 Enrollment ID: O20190430000889  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr James Ryan Bogdanovich, DPT 3191 Mission Inn Ave Ste B, Riverside, CA 92507-4188 Ph: (951) 684-2874  | Dr James Ryan Bogdanovich, DPT 3191 Mission Inn Ave Ste B, Riverside, CA 92507-4188 Ph: (951) 684-2874  | 
Mrs. Deanna Michelle Vizon, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6177 River Crest Dr Ste A, Riverside, CA 92507 Phone: 951-653-4480 Fax: 951-653-5051  | |
Anocha Suphol, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4444 Magnolia Ave, Riverside, CA 92501 Phone: 951-274-3524 Fax: 951-274-3442  | |
Lindsay Aho, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3908 10th St, Riverside, CA 92501 Phone: 951-274-7744 Fax: 951-274-7754  | |
Theodore Ronald Oliver, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17050 Arnold Dr, Riverside, CA 92518 Phone: 833-399-1402 Fax: 951-848-9676  | |
Joy Shiba, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17050 Arnold Dr, Riverside, CA 92518 Phone: 833-399-1402  | |
Jason Eric Herrera, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3908 10th St, Riverside, CA 92501 Phone: 951-274-7744  | |
Kevin Wu, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3421 Arlington Ave Ste 105, Riverside, CA 92506 Phone: 951-684-2865  |