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

Tiffany Marie Bogle, DPT

Individual provider Physical Therapist · NPI 1922467471

Tiffany Marie Bogle, DPT is a Physical Therapist in Lebanon, Tennessee. Licensed in Tennessee. Registered with an NPI since 2016.

Licensed in
TN
In the registry since
2016
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

1427 W Baddour Pkwy Ste A
Lebanon, TN 37087-3062
Phone: (615) 444-1408
Fax: (615) 444-1393
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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 PT10753 (TN)

Record details

NPI number1922467471
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 12, 2016
Last updated in NPPESDecember 12, 2024
Certification dateDecember 12, 2024
Mailing address112 Bradford Blvd, Suite 500, Gordonsville, TN 38563-4600

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