Individual provider Active NPI

Pamela H Hogue, MSOTR

  • Occupational Therapist
  • Jasper, AL
National Provider Identifier
1174957245
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3997 Issued in AL
Practice address
1710 Alabama Ave
Jasper, AL 35501-5400
Phone
(205) 387-0555
NPI assigned
Aug 26, 2013
Last updated
Mar 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X
Occupational Therapist 225X00000X 3997 AL Primary

Addresses

Primary practice location

1710 Alabama Ave
Jasper, AL 35501-5400

Mailing address

2823 Greystone Commercial Blvd
Hoover, AL 35242-2660

Other practice location 1

3699 Industrial Pkwy
Jasper, AL 35501-9256
Phone (205) 221-3537

Other practice location 2

200 N Airport Rd Ste 110
Jasper, AL 35504-7676
Phone (205) 387-3266

Other practice location 3

331 25th St W
Jasper, AL 35501-5828
Phone (205) 384-9086

Other identifiers 1

IdentifierTypeStateIssuer
3997OtherALLICENSE

Other names 1

  • Pamela Moye Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3997ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ellavating You Current Accepting new patients
Therapy South Cullman LLC CurrentSince Jun 7, 2023 Accepting new patients
Therapy South Jasper LLC CurrentSince Mar 3, 2023 Accepting new patients
Walker County PastSince Mar 5, 2023 Accepting new patients

Locations

1208 Cullman Shopping Ctr NW
Cullman, AL 35055
Phone (256) 775-4456

2823 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 408-1713

200 N Airport Rd
Ste 110
Jasper, AL 35504
Phone (205) 387-3266

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1174957245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 GREYSTONE COMMERCIAL BLVD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352422660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 ALABAMA AVE",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355015400",
            "telephone_number": "205-387-0555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3699 Industrial Pkwy",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "AL",
            "postal_code": "355019256",
            "country_code": "US",
            "telephone_number": "205-221-3537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 N Airport Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "AL",
            "postal_code": "355047676",
            "country_code": "US",
            "telephone_number": "205-387-3266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "331 25th St W",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "AL",
            "postal_code": "355015828",
            "country_code": "US",
            "telephone_number": "205-384-9086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGUE",
        "first_name": "PAMELA",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "MSOTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "3997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "3997",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "MOYE",
            "credential": "MSOTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.