Kenneth Michael Hogan, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1186143 Issued in TX

Practice address

11919 Culebra Rd
Building 1, Suite 101
San Antonio, TX 78253-2102

Phone

(210) 828-7557

Fax

(210) 828-7756

NPI assigned

May 27, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hogan Physical Therapy Clinics LLCGroup PAC ID 2062911217, 2 clinicians

Stratton Hogan Clinics IncGroup PAC ID 7214235159, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Hogan Physical Therapy Clinics LLC

  • Physical Therapy Clinic/Center
  • San Antonio, TX
  • NPI 1104613330

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Stratton Hogan Clinics, Inc.

  • Physical Therapy Clinic/Center
  • San Antonio, TX
  • NPI 1841662152

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Stratton Hogan Clinics Inc

  • Physical Therapy Clinic/Center
  • San Antonio, TX
  • NPI 1417689555

  Physical Therapist

  NPD

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1134448327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11919 CULEBRA RD",
            "address_2": "BUILDING 1, SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782532102",
            "telephone_number": "210-828-7557",
            "fax_number": "210-828-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11919 CULEBRA RD",
            "address_2": "BUILDING 1, SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782532102",
            "telephone_number": "210-828-7557",
            "fax_number": "210-828-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "KENNETH",
        "middle_name": "MICHAEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-27",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1186143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hogan Physical Therapy Clinics LLC
• Casey Williams Hogan, APRN
• Diann Davis Hogan
• Jamie Hogan, APN
• John Paul Hogan, RBT
• Marguerite Inez Hogan, M.D.
• Sara Dawn Hogan
• Sarah E Hogan, LPC
• Travis W Hogberg, FNP-C
• John Hogg, MD

• Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.