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

Mr. Pablo Edgardo Der Boghossian, PT

Individual provider Geriatric Physical Therapist · NPI 1922158484

Mr. Pablo Edgardo Der Boghossian, PT is a Physical Therapist in Private Practice in Bradenton, Florida. Qualified in 1992, 34 years ago. Accepts Medicare assignment. Licensed in Florida.

Years since qualifying
34
Licensed in
FL
In the registry since
2007
Specialties on file
4
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1800 Cortez Rd W Ste C
Bradenton, FL 34207-1335
Phone: (941) 870-7473
Fax: (941) 870-4915
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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 PT0013467 (FL)
Geriatric Physical Therapist Taxonomy 2251G0304X
Sports Physical Therapist Taxonomy 2251S0007X · Licence PT13467
Orthopedic Physical Therapist Taxonomy 2251X0800X

Record details

NPI number1922158484
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 10, 2007
Last updated in NPPESJune 22, 2022
Certification dateJune 22, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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