Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. James Ryan Bogdanovich, DPT

Individual provider Physical Therapist · NPI 1922864222

Dr. James Ryan Bogdanovich, DPT is a Physical Therapist in Private Practice in Riverside, California. Qualified in 2023, 3 years ago. Practices with Marketplace Physical Therapy Inc, a Professional Corporation, a 17-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3191 Mission Inn Ave Ste B
Riverside, CA 92507-4188
Phone: (951) 684-2874
Fax: (951) 684-2980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT305629 (CA)

Record details

NPI number1922864222
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 23, 2024
Last updated in NPPESFebruary 23, 2024
Certification dateFebruary 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Marketplace Physical Therapy Inc, A Professional Corporation — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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