Individual provider Active NPI

Suzanne Hoagland Doctor, PTA

  • Physical Therapy Assistant
  • Point Pleasant Boro, NJ
National Provider Identifier
1366867202
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
40QB00281400 Issued in NJ
Practice address
35 Hidden Harbor Dr
Point Pleasant Boro, NJ 08742-4841
Phone
(732) 998-1660
NPI assigned
Mar 1, 2014
Last updated
Jul 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 40QB00281400 NJ Primary

Addresses

Primary practice location

35 Hidden Harbor Dr
Point Pleasant Boro, NJ 08742-4841

Mailing address

35 Hidden Harbor Dr
Point Pleasant Boro, NJ 08742-4841
Phone (732) 998-1660

Other practice location 1

175 Bartley Rd
Jackson, NJ 08527-1241
Phone (732) 415-6068

Other names 1

  • Suzanne Doctor Former name

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

LicenseStateTypeSpecialty
40QB00281400NJMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1393632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1366867202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 HIDDEN HARBOR DR",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087424841",
            "telephone_number": "732-998-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 HIDDEN HARBOR DR",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087424841",
            "telephone_number": "732-998-1660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Bartley Rd",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "NJ",
            "postal_code": "085271241",
            "country_code": "US",
            "telephone_number": "732-415-6068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOCTOR",
        "first_name": "SUZANNE",
        "middle_name": "HOAGLAND",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-01",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00281400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "DOCTOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Point Pleasant Boro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.

Verify at the official NPI Registry.