Active NPI
Jessica Marie Hogan, PT, DPT
- Physical Therapist
- Seattle, WA
National Provider Identifier
1346874252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60566644
- Practice address
- 1218 3Rd Ave Ste 104
Seattle, WA 98101-3008 - Phone
- (206) 447-2220
- Fax
- (206) 447-2228
- NPI assigned
- Feb 29, 2020
- Sex
- Female
- 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 | PT60566644 | WA | Primary |
Addresses
Primary practice location
1218 3Rd Ave Ste 104
Seattle, WA 98101-3008
Mailing address
1218 3Rd Ave Ste 104
Seattle, WA 98101-3008
Phone (206) 447-2220
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT60566644 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582934400000",
"number": "1346874252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1218 3RD AVE STE 104",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981013008",
"telephone_number": "206-447-2220",
"fax_number": "206-447-2228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1218 3RD AVE STE 104",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981013008",
"telephone_number": "206-447-2220",
"fax_number": "206-447-2228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "JESSICA",
"middle_name": "MARIE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-29",
"last_updated": "2020-02-29",
"certification_date": "2020-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60566644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.