Active NPI
Judy L. Hogan, L.P.T.
- Physical Therapist
- Wichita, KS
National Provider Identifier
1891738258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-00757
- Practice address
- 940 N Tyler Rd
Ste. 100
Wichita, KS 67212-3265 - Phone
- (316) 773-0909
- Fax
- (316) 773-0606
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- 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 | 11-00757 | KS | Primary |
Addresses
Primary practice location
940 N Tyler Rd
Ste. 100
Wichita, KS 67212-3265
Mailing address
940 N Tyler Rd
Ste. 100
Wichita, KS 67212-3265
Phone (316) 773-0909
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3132 | Other | KS | PREFERRED PLUS OF KANSAS |
| 141041 | Other | KS | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Physical Therapy | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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
- Wichita, KS
- NPI 1346372588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1891738258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 N TYLER RD",
"address_2": "STE. 100",
"city": "WICHITA",
"state": "KS",
"postal_code": "672123265",
"telephone_number": "316-773-0909",
"fax_number": "316-773-0606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 N TYLER RD",
"address_2": "STE. 100",
"city": "WICHITA",
"state": "KS",
"postal_code": "672123265",
"telephone_number": "316-773-0909",
"fax_number": "316-773-0606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "JUDY",
"middle_name": "L.",
"credential": "L.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-00757",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED PLUS OF KANSAS",
"identifier": "3132",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "141041",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.