Individual provider Active NPI

Michael Lynn Hoggatt Jr., PT, DPT

  • Physical Therapist
  • Brandon, FL
National Provider Identifier
1073389649
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT41092 Issued in FL
Practice address
1129 Professional Park Dr
Brandon, FL 33511-4887
Phone
(813) 876-8771
NPI assigned
Nov 27, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT41092 FL Primary

Addresses

Primary practice location

1129 Professional Park Dr
Brandon, FL 33511-4887

Mailing address

4950 W Prescott St Unit 12216
Tampa, FL 33616-2978
Phone (601) 720-7291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT41092FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pribila Consulting Services Inc Physical Therapist CurrentSince Dec 3, 2023 Accepting new patients
The Mobility Lab Current Accepting new patients
Therapeutic Rehab Specialists Inc. PastSince Dec 3, 2023 Accepting new patients

Locations

1129 Professional Park Dr
Brandon, FL 33511
Phone (813) 876-8771

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1073389649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 W PRESCOTT ST UNIT 12216",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336162978",
            "telephone_number": "601-720-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 PROFESSIONAL PARK DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114887",
            "telephone_number": "813-876-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGGATT",
        "first_name": "MICHAEL",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT41092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.