Active NPI
Emily Suzanne Hogle, PT, DPT
- Physical Therapist
- Waverly, IA
National Provider Identifier
1972108710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 100248
- Practice address
- 217 E Bremer Ave
Waverly, IA 50677-3435 - Phone
- (800) 268-7192
- NPI assigned
- Dec 1, 2020
- Last updated
- Mar 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 100248 | IA | Primary |
Addresses
Primary practice location
217 E Bremer Ave
Waverly, IA 50677-3435
Mailing address
3214 Peridot Ave Apt 302
Ames, IA 50010-1217
Phone (319) 830-0695
Other names 1
- Emily Suzanne Ruth
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100248 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehab PT Ia PLLC | Single Specialty | Current | 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, 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": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616112000000",
"number": "1972108710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3214 PERIDOT AVE APT 302",
"city": "AMES",
"state": "IA",
"postal_code": "500101217",
"telephone_number": "319-830-0695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 E BREMER AVE",
"city": "WAVERLY",
"state": "IA",
"postal_code": "506773435",
"telephone_number": "800-268-7192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGLE",
"first_name": "EMILY",
"middle_name": "SUZANNE",
"name_prefix": "Mrs.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-01",
"last_updated": "2021-03-19",
"certification_date": "2021-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "IA",
"license": "100248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "RUTH",
"middle_name": "SUZANNE",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waverly, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.