Active NPI
Michael Hogan, PT
- Physical Therapist
- Edina, MN
National Provider Identifier
1306253265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1941
- Practice address
- 3601 Minnesota Dr
Suite 600
Edina, MN 55435-5281 - Phone
- (952) 851-8200
- NPI assigned
- Jul 11, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1941 | MN | Primary |
Addresses
Primary practice location
3601 Minnesota Dr
Suite 600
Edina, MN 55435-5281
Mailing address
1115 Laurel Ave
Saint Paul, MN 55104-6922
Phone (651) 278-5377
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1941 | MN | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Neck & Back Clinics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Roseville, MN
- NPI 1538495247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405036800000",
"number": "1306253265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 LAUREL AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551046922",
"telephone_number": "651-278-5377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 MINNESOTA DR",
"address_2": "SUITE 600",
"city": "EDINA",
"state": "MN",
"postal_code": "554355281",
"telephone_number": "952-851-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "MICHAEL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-11",
"last_updated": "2014-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "1941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.