Active NPI
Amy Roseanne Hoogs, PT
- Physical Therapist
- Kailua Kona, HI
National Provider Identifier
1376712661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2336
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT2336 | HI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Rehab LLC | Physical Therapist | Current | 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.