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

Tyler Vanden Boogard, DPT

Individual provider Physical Therapist · NPI 1366272007

Tyler Vanden Boogard, DPT is a Physical Therapist in Verona, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2024.

Licensed in
WI
In the registry since
2024
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

303 S Jefferson St
Verona, WI 53593-1493
Phone: (608) 845-6465
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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 16547-24 (WI)

Record details

NPI number1366272007
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 6, 2024
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024

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