Individual provider Active NPI

Jennifer Coble Hoggarth, PT, DPT

  • Physical Therapist
  • Sun City Center, FL
National Provider Identifier
1306450879
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT36005 Issued in FL
Practice address
3800 State Road 674
Sun City Center, FL 33573-6805
Phone
(813) 633-9888
NPI assigned
Sep 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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 PT36005 FL Primary

Addresses

Primary practice location

3800 State Road 674
Sun City Center, FL 33573-6805

Mailing address

10263 Strawberry Tetra Dr
Riverview, FL 33578-5484
Phone (941) 223-8003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211222001539 FL Practitioner - Physical Therapist in Private Practice 8527459783 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sports and Orthopedic Rehabilitation Services Inc CurrentSince Jan 10, 2024 Accepting new patients
Sports and Orthopedic Rehabilitation Services, Inc. CurrentSince Jan 10, 2024 Accepting new patients
Sports and Orthopedic Rehabilitation Services, Inc. Current Accepting new patients

Locations

13133 Elk Mountain Dr
Riverview, FL 33579
Phone (813) 515-3370

3800 Sun City Center Blvd
Sun City Center, FL 33573
Phone (813) 633-9888

15310 Amberly Dr
Ste 155
Tampa, FL 33647
Phone (727) 777-2705

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1306450879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10263 STRAWBERRY TETRA DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335785484",
            "telephone_number": "941-223-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 STATE ROAD 674",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736805",
            "telephone_number": "813-633-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGGARTH",
        "first_name": "JENNIFER",
        "middle_name": "COBLE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City Center, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.