Individual provider Active NPI

Valerie Jane Williams Hogan, PT, PHD

  • Orthopedic Physical Therapist
  • Aiken, SC
National Provider Identifier
1972769628
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
9374 Issued in SC
Practice address
550 Silver Bluff Rd Ste 600
Aiken, SC 29803-6038
Phone
(803) 220-3655
NPI assigned
Aug 1, 2008
Last updated
Jul 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT019384 PA
Orthopedic Physical Therapist 2251X0800X 9374 SC Primary

Addresses

Primary practice location

550 Silver Bluff Rd Ste 600
Aiken, SC 29803-6038

Mailing address

2802 Walton Way
Augusta, GA 30909-3826
Phone (706) 834-9244

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
9374SCMDProfessional Counselor
PT019384PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Rehabilitation, Fitness and Performance Center LLC Physical Therapist CurrentSince Feb 1, 2022 Accepting new patients

Locations

1305 Dantignac St
Augusta, GA 30901
Phone (706) 823-2807

1305 Dantignac St
#D
Augusta, GA 30901
Phone (706) 823-3807

1441 Reynolds St
Augusta, GA 30901
Phone (706) 823-3807

550 Silver Bluff Rd
Ste 600
Aiken, SC 29803
Phone (803) 220-3655

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": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1972769628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 WALTON WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309093826",
            "telephone_number": "706-834-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SILVER BLUFF RD STE 600",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036038",
            "telephone_number": "803-220-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "VALERIE",
        "middle_name": "JANE WILLIAMS",
        "credential": "PT, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT019384",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "SC",
            "license": "9374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.