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

Ryan Edmund Bogrette, DPT

Individual provider Physical Therapist · NPI 1265163315

Ryan Edmund Bogrette, DPT is a Physical Therapist in Private Practice in South Boston, Massachusetts. Qualified in 2022, 4 years ago. Practices with Lisa Scialla DPT PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Connecticut and Massachusetts.

Years since qualifying
4
Licensed in
CT, MA
In the registry since
2022
Specialties on file
3
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

379 W Broadway
South Boston, MA 02127-2217
Phone: (617) 968-3999
Fax: (617) 752-4127
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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 26241 (MA)
Physical Therapist Taxonomy 225100000X (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CT)

Record details

NPI number1265163315
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 20, 2022
Last updated in NPPESMarch 1, 2024
Certification dateMarch 1, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lisa Scialla Dpt Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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