Active NPI
Gregory David Hogan, MPT
- Physical Therapist
- Fuquay Varina, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 100 Fitness Dr
Fuquay Varina, NC 27526-7263 - Phone
- (919) 557-3100
- NPI assigned
- Mar 7, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
100 Fitness Dr
Fuquay Varina, NC 27526-7263
Mailing address
1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (914) 294-4050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090210000758 | NC | Practitioner - Physical Therapist in Private Practice | 3274554381 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ivyrehab North Carolina LLC
Practice addresses (Care Compare)
2100 N Davidson St
Suite C
Charlotte, NC 28205-1828
Phone (980) 556-7780
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab North Carolina LLC | Physical Therapist | Current | Accepting new patients |
| Ivyrehab North Carolina LLC | Current | Accepting new patients | |
| Raleigh Orthopaedic Clinic PA | Past | Accepting new patients |
Locations
5960 Fairview Rd
Ste 250
Charlotte, NC 28210
Phone (980) 224-7958
2100 N Davidson St
Ste C
Charlotte, NC 28205
Phone (980) 556-7780
9216 Ardrey Kell Rd
Ste 300
Charlotte, NC 28277
Phone (980) 556-7330
100 Fitness Dr
Fuquay Varina, NC 27526
Phone (919) 557-3100
1878 N Broad St
Fuquay Varina, NC 27526
Phone (919) 805-3103
1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838
Organizations & group practices 3
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 Medicine & Rehabilitation Physician
- Charlotte, NC
- NPI 1629568647
NC, Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
- NPI 1528683935
-
- Orthopaedic Surgery Physician
- Raleigh, NC
- NPI 1235137563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1750412425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 MAMARONECK AVE STE 140",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106055224",
"telephone_number": "914-294-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 FITNESS DR",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275267263",
"telephone_number": "919-557-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "GREGORY",
"middle_name": "DAVID",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fuquay Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.