Douglas Winston Hoggatt, P.T.

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

PT-1548 Issued in ID

Practice address

502 N Kimball PL
Boise, ID 83704-0608

Phone

(208) 377-1900

Fax

(208) 377-1905

NPI assigned

Jun 15, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Body Wise Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Boise, ID
  • NPI 1154911493
  NPD Authorized official
• Gem Rehabilitation Services, Inc.

  dba Payette River Physical Therapy

  • Physical Therapist
  • Horseshoe Bend, ID
  • NPI 1730219361
  NPD (past)
• Peak Physical Therapy P C

  • Physical Therapist
  • Boise, ID
  • NPI 1073551560

  Geriatrics

  NPD (past)

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356546865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9483 W SHELBORNE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837095597",
            "telephone_number": "208-377-1900",
            "fax_number": "208-377-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N KIMBALL PL",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837040608",
            "telephone_number": "208-377-1900",
            "fax_number": "208-377-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGGATT",
        "first_name": "DOUGLAS",
        "middle_name": "WINSTON",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "ID",
            "license": "PT-1548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer A Hofstra, MD
• Jenna Humphrey Hogan, M.D.
• Julie K Hogan, LCSW
• Thomas James Hogan, LMSW
• Lucia Hogg
• Paul Erick Hogsten, M.D.
• Sarah Rosemarie Hogue, PHARMD
• Kylie Hohwieler, OTD
• Amber Lynn Hoid, LCSW
• Eric A Hoidal, D.D.S.

• Geriatric Physical Therapist in Boise, ID
• Providers in Boise, ID by specialty
• Geriatric Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.