Healthcare Provider Details

I. General information

NPI: 1396095980
Provider Name (Legal Business Name): APRIL P BOGAN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2012
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 ILLINI BLVD
SHERMAN IL
62684-8481
US

IV. Provider business mailing address

PO BOX 19273
SPRINGFIELD IL
62794-9273
US

V. Phone/Fax

Practice location:
  • Phone: 217-496-3481
  • Fax: 217-496-3497
Mailing address:
  • Phone: 217-528-7541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number070.016184
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070016184
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: