IndividualActive
Tyler Vanden Boogard, DPT
NPI 1366272007 · Physical Therapist · Verona, WI
Provider details
- NPI number
- 1366272007
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 16547-24 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
303 S Jefferson St
Verona, WI 53593-1493
Phone: (608) 845-6465
Street-level locationGet directions
Mailing address
5123 Central Park Pl Apt 101
Fitchburg, WI 53711-9314
Registry dates
- Enumerated
- 2024-08-06
- Last updated
- 2024-08-06
- Certified
- 2024-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.