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

Mrs. Jennifer Dixon Bogan, PT

Individual provider Physical Therapist · NPI 1093122145

Mrs. Jennifer Dixon Bogan, PT is a Physical Therapist in Private Practice in Olive Branch, Mississippi. Qualified in 2006, 20 years ago. Practices with Campbell Clinic, PC, a 225-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
20
Licensed in
MS
In the registry since
2014
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

6760 Goodman Rd
Olive Branch, MS 38654-9892
Phone: (901) 759-5566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7545 Airways Blvd, Southaven, MS 38671-5806 — (901) 759-3208

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT4073 (MS)

Record details

NPI number1093122145
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 21, 2014
Last updated in NPPESMay 17, 2025
Certification dateMay 17, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Campbell Clinic, Pc — 225 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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