Individual provider Active NPI

Joshua P Hogan, MPT

  • Physical Therapist
  • Hazleton, PA
National Provider Identifier
1861426389
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012834L Issued in PA
Practice address
1 W Broad St
Suite 2
Hazleton, PA 18201-6407
Phone
(570) 459-4559
Fax
(570) 459-4558
NPI assigned
Jul 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT012834L PA Primary

Addresses

Primary practice location

1 W Broad St
Suite 2
Hazleton, PA 18201-6407

Mailing address

2 Tommys CT
Drums, PA 18222-1007
Phone (570) 708-0221

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060731000353 PA Practitioner - Physical Therapist in Private Practice 6709899214 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT012834LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics (SPT), Inc. Physical Therapist Current Accepting new patients
Rehabclinics (SPT), Inc. CurrentSince Jun 1, 2021 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Northeast PT Associates, Inc. Physical Therapist PastSince Jul 1, 2021 Accepting new patients

Locations

604 Commons Dr
Ste D3
Oxford, PA 19363
Phone (610) 932-3619

667 S River St
Plains, PA 18705
Phone (570) 824-4111

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861426389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TOMMYS CT",
            "city": "DRUMS",
            "state": "PA",
            "postal_code": "182221007",
            "telephone_number": "570-708-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W BROAD ST",
            "address_2": "SUITE 2",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016407",
            "telephone_number": "570-459-4559",
            "fax_number": "570-459-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "JOSHUA",
        "middle_name": "P",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT012834L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.