Active NPI
Jordan Hoogerhyde
- Physical Therapist
- Gastonia, NC
National Provider Identifier
1780162669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P18242
- Practice address
- 2675 Court Dr
Gastonia, NC 28054-1478 - Phone
- (704) 824-7800
- Fax
- (704) 824-2822
- NPI assigned
- Aug 1, 2018
- 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 | P18242 | NC | Primary |
Addresses
Primary practice location
2675 Court Dr
Gastonia, NC 28054-1478
Mailing address
2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Orthopaedic & Sports Medicine Center PA | Current | Accepting new patients | |
| Carolina Orthopaedic & Sports Medicine Center PA | Current | Accepting new patients |
Locations
2345 Court Dr
Gastonia, NC 28054
Phone (704) 833-3103
620 Summit Crossing Pl
Ste 108
Gastonia, NC 28054
Phone (704) 865-0077
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Gastonia, NC
- NPI 1255380143
-
- Durable Medical Equipment & Medical Supplies
- Belmont, NC
- NPI 1306644521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533081600000",
"number": "1780162669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 COURT DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280541478",
"telephone_number": "704-824-7800",
"fax_number": "704-824-2822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2675 COURT DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280541478",
"telephone_number": "704-824-7800",
"fax_number": "704-824-2822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOGERHYDE",
"first_name": "JORDAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-01",
"last_updated": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P18242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.