Active NPI
Douglas James Hoogendyk, PT, DPT, OCS, CSCS
- Physical Therapist
- Prairie Village, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1107835
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1107835 | KS | MD | Physical Therapist |
| QA01144500 | NJ | MD | Physical Therapist |
| 38279 | CA | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seal Beach Physical Therapy Inc. | Physical Therapist | Current | Accepting new patients |
| Xcelerate Physical Therapy Inc. | Physical Therapist | Current | Accepting new patients |
| Newsport Physical Therapy | Physical Therapist | Current | 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.
-
- Physical Therapist
- Corona del Mar, CA
- NPI 1831258789
-
- Physical Therapist
- Seal Beach, CA
- NPI 1316262983
-
- Physical Therapist
- Thousand Oaks, CA
- NPI 1306814124
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.