Active NPIIndividual providerSole proprietor

Peter D Hogan, PTA

Physical Therapy Assistant in Medford, Massachusetts

NPI Number1194956060
Practice location
200 Governors Ave, Medford, MA 02155-1644
Fax
—
Last updated
July 27, 2009

Peter Daniel Hogan is a Physical Therapy Assistant based in Medford, MA. Peter Daniel Hogan practices in Medford, MA and has the professional credentials of PTA. The NPI Number for Peter Daniel Hogan is 1194956060 and holds a License No. 8261 (MA). The current practice location address for Peter Daniel Hogan is 200 Governors Ave, Medford, MA 02155-1644 and can be reached out via phone at 781-391-5400.

Provider Profile Details

NPI Number
1194956060
Provider Name
Peter Daniel Hogan
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
200 Governors Ave, Medford, MA 02155-1644
Phone Number
781-391-5400
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
July 27, 2009
Last Update Date
July 27, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Governors Ave
Medford, MA 02155-1644
Zip
02155-1644
Phone Number
781-391-5400
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
8 Richardson St Apt 5
Wakefield, MA 01880-3341
City
Wakefield
State
MA
Zip
01880-3341
Phone Number
617-965-2411

License Information

License Number
8261
License State
MA
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Peter D Hogan, PTA?

The NPI number of Peter D Hogan, PTA is 1194956060. It was assigned on July 27, 2009 and is currently active in the NPPES registry.

What is the specialty of Peter D Hogan, PTA?

Peter D Hogan, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in MA under license number 8261.

Where does Peter D Hogan, PTA practice?

The practice location is 200 Governors Ave, Medford, MA 02155-1644. The office can be reached at 781-391-5400 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194956060 directly on the NPPES registry website.

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