Mason Hoeper

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4100-19 Issued in WI

Practice address

244 N Macy St
Fond Du Lac, WI 54935-3362

Phone

(920) 921-9520

NPI assigned

Oct 2, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1063292571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 ZEMLOCK AVE",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563732",
            "telephone_number": "920-858-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 N MACY ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353362",
            "telephone_number": "920-921-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEPER",
        "first_name": "MASON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "4100-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent Joseph Hilt
• Amy Hingeveld Schmidt
• Toni M Hinz, APNP
• Chuentao Ho, A.T.C, L.A.T
• Laura M Hoekstra
• Anne Hoffman
• Rebecca Hoffman
• Dominique Holder
• Theresa L Hollnagel, PA-C
• Kris A Homb, M.D.

• Physical Therapy Assistant in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.