Individual provider Active NPI

Philipp Hoog, PT

  • Physical Therapist
  • Oak Harbor, WA
National Provider Identifier
1952843096
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60699386 Issued in WA
Practice address
210 SE Pioneer Way Ste 2
Oak Harbor, WA 98277-5705
Phone
(360) 672-5326
NPI assigned
Nov 7, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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 PT60699386 WA Primary

Addresses

Primary practice location

210 SE Pioneer Way Ste 2
Oak Harbor, WA 98277-5705

Mailing address

210 SE Pioneer Way Ste 2
Oak Harbor, WA 98277-5705
Phone (360) 672-5326

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

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1952843096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SE PIONEER WAY STE 2",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775705",
            "telephone_number": "360-672-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SE PIONEER WAY STE 2",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775705",
            "telephone_number": "360-672-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOG",
        "first_name": "PHILIPP",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60699386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.