Kelly Hogan, DPT, PT, MOT, OTR/L

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501017365 Issued in MI

Practice address

1817 Deer View CT
Howell, MI 48843-8091

Phone

(248) 921-7720

NPI assigned

Sep 4, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kelly.hogan.p4@direct.athleticoltd.nextgenshare.com
• Direct secure messaging: kelly.hoganmot.p4@direct.athleticoltd.nextgenshare.com

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.

• Champ Therapy and Wellness PLLC

  • Physical Therapy Clinic/Center
  • Howell, MI
  • NPI 1447911136

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1356719504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 DEER VIEW CT",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488438091",
            "telephone_number": "248-921-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 DEER VIEW CT",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488438091",
            "telephone_number": "248-921-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "KELLY",
        "credential": "DPT, PT, MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-04",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201009162",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lane Heximer
• Kaitlin Hill
• Stephanie L. Hillebrand, PSYD, L.P.
• Matthew Russell Hines
• Julie Hoffman
• Terri Hohman
• Christopher Ryan Hohn, D.C., B.S.
• Krystal Lynn Hohn, D.C
• Michael E Holda, MD
• Jan Holderbaum

• Physical Therapist in Howell, MI
• Providers in Howell, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.