Individual provider Active NPI

Amy Roseanne Hoogs, PT

  • Physical Therapist
  • Kailua Kona, HI
National Provider Identifier
1376712661
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2336 Issued in HI
Practice address
75-1029 Henry St
Suite 101
Kailua Kona, HI 96740-1666
Phone
(808) 334-0806
Fax
(808) 334-0483
NPI assigned
Feb 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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 PT2336 HI Primary

Addresses

Primary practice location

75-1029 Henry St
Suite 101
Kailua Kona, HI 96740-1666

Mailing address

75-1029 Henry St
Suite 101
Kaulua Kona, HI 96740-1666
Phone (808) 334-0806

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090715000356 HI Practitioner - Physical Therapist in Private Practice 2365477403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Rehab LLCGroup PAC ID 9335439116, 4 clinicians

Practice addresses (Care Compare)

75 -1029 Henry St
Suite 101
Kailua Kona, HI 96740-1666
Phone (808) 334-0806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT2336HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Rehab LLC Physical Therapist CurrentSince May 2, 2016 Accepting new patients

Locations

75-1029 Henry St
Ste 101
Kailua Kona, HI 96740
Phone (808) 334-0806

Organizations & group practices 1

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": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381968000000",
    "number": "1376712661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-1029 HENRY ST",
            "address_2": "SUITE 101",
            "city": "KAULUA KONA",
            "state": "HI",
            "postal_code": "967401666",
            "telephone_number": "808-334-0806",
            "fax_number": "808-334-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-1029 HENRY ST",
            "address_2": "SUITE 101",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401666",
            "telephone_number": "808-334-0806",
            "fax_number": "808-334-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOGS",
        "first_name": "AMY",
        "middle_name": "ROSEANNE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2013-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT2336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; 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.