Active NPI
Josh Benjamin Hogg
- Orthopedic Physical Therapist
- Winston Salem, NC
National Provider Identifier
1962910752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- P17750
- Practice address
- 120 Charlois Blvd
Winston Salem, NC 27103 - Phone
- (336) 765-5664
- NPI assigned
- Jan 16, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | |||
| Orthopedic Physical Therapist | 2251X0800X | P17750 | NC | Primary |
Addresses
Primary practice location
120 Charlois Blvd
Winston Salem, NC 27103
Mailing address
1136 Martin St
Winston Salem, NC 27103-4431
Phone (336) 266-5538
Other practice location 1
2605 Blue Ridge Rd
Raleigh, NC 27607-0112
Phone (919) 781-1637
Other practice location 2
2605 Blue Ridge Rd
Raleigh, NC 27607-0112
Phone (919) 781-1637
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | jhogg@selectmedical.com |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P17750 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568851200000",
"number": "1962910752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1136 MARTIN ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271034431",
"telephone_number": "336-266-5538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 CHARLOIS BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "27103",
"telephone_number": "336-765-5664"
}
],
"practiceLocations": [
{
"address_1": "2605 Blue Ridge Rd",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276070112",
"country_code": "US",
"telephone_number": "919-781-1637",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2605 Blue Ridge Rd",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276070112",
"country_code": "US",
"telephone_number": "919-781-1637",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOGG",
"first_name": "JOSH",
"middle_name": "BENJAMIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-16",
"last_updated": "2019-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NC",
"license": "P17750",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "jhogg@selectmedical.com",
"affiliation": "N",
"address_1": "120 Charlois Blvd",
"city": "Winston Salem",
"state": "NC",
"country_code": "US",
"postal_code": "271031562",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.