Cynthia Gayle Hogan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A02903 Issued in KY

Practice address

106 Diecks Dr
Elizabethtown, KY 42701-2443

Phone

(270) 769-0058

Fax

(270) 737-1659

NPI assigned

Feb 17, 2013

Last updated

Feb 17, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Cynthia Gayle Haycraft Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361059200000",
    "number": "1033459789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 RABBIT FLAT RD",
            "city": "CANEYVILLE",
            "state": "KY",
            "postal_code": "427217700",
            "telephone_number": "270-879-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 DIECKS DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012443",
            "telephone_number": "270-769-0058",
            "fax_number": "270-737-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "CYNTHIA",
        "middle_name": "GAYLE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-17",
        "last_updated": "2013-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A02903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "HAYCRAFT",
            "middle_name": "GAYLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Lawrence Hobson Sr.
• Lauren Elisabeth Hodge, PTA
• Alexis Hodges
• Regina G. Hodges
• Adam Hoehn, DO
• Ryan Leon Hogan
• Christy Hallie Holder, APRN
• Julia C Holeman, APSS
• Richard J. Hollinden, M.S.
• Julie Holman, MD

• Physical Therapy Assistant in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Physical Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.