Individual provider Active NPI

Douglas James Hoogendyk, PT, DPT, OCS, CSCS

  • Physical Therapist
  • Prairie Village, KS
National Provider Identifier
1396808747
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1107835 Issued in KS
Practice address
6911 Tomahawk Rd
Prairie Village, KS 66208-2618
Phone
(913) 871-6291
Fax
(913) 871-7633
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1107835 KS Primary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 38279 CA
Physical Therapist 225100000X QA01144500 NJ

Addresses

Primary practice location

6911 Tomahawk Rd
Prairie Village, KS 66208-2618

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6200

Other practice location 1

875 Maude Ave Ste 5
Mountain View, CA 94043-4027
Phone (201) 463-2322

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260617003841 KS Practitioner - Physical Therapist in Private Practice 2769433119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

6911 Tomahawk Rd
Prairie Village, KS 66208-2618
Phone (913) 871-6291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1107835KSMDPhysical Therapist
QA01144500NJMDPhysical Therapist
38279CAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Seal Beach Physical Therapy Inc. Physical Therapist CurrentSince Jul 10, 2013 Accepting new patients
Xcelerate Physical Therapy Inc. Physical Therapist CurrentSince Jul 1, 2013 Accepting new patients
Newsport Physical Therapy Physical Therapist CurrentSince Jul 1, 2013 Accepting new patients

Locations

2711 E Coast Hwy
Ste 206
Corona del Mar, CA 92625
Phone (949) 675-2922

144 W Los Angeles Ave
Ste 110
Moorpark, CA 93021
Phone (805) 374-9900

2290 SE Bristol St
Newport Beach, CA 92660
Phone (949) 261-6101

1005 Pacific Coast Hwy
Ste A2
Seal Beach, CA 90740
Phone (562) 598-5500

1005 Pacific Coast Hwy
#A2
Seal Beach, CA 90740
Phone (562) 598-5500

3262 E Thousand Oaks Blvd
Ste 100
Thousand Oaks, CA 91362
Phone (805) 374-9900

Organizations & group practices 4

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1396808747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 TOMAHAWK RD",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662082618",
            "telephone_number": "913-871-6291",
            "fax_number": "913-871-7633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 Maude Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940434027",
            "country_code": "US",
            "telephone_number": "201-463-2322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOOGENDYK",
        "first_name": "DOUGLAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, OCS, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1107835",
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CA",
            "license": "38279",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA01144500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.