Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lucas Bogan, PTA

Individual provider Physical Therapy Assistant · NPI 1932854833

Lucas Bogan, PTA is a Physical Therapy Assistant in Clinton Twp, Michigan. Licensed in Michigan. Registered with an NPI since 2022.

Licensed in
MI
In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

33900 Harper Ave Ste 104
Clinton Twp, MI 48035-4258
Phone: (586) 350-2644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502007999 (MI)

Record details

NPI number1932854833
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 18, 2022
Last updated in NPPESFebruary 18, 2022
Certification dateFebruary 18, 2022
Mailing address33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258

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