Active NPI
Kelly Mullahy Hopson, PT, DPT
- Physical Therapist
- Durham, NC
National Provider Identifier
1083349963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P17975
- Practice address
- 3000 Erwin Rd
Durham, NC 27705-4504 - Phone
- (919) 684-2445
- NPI assigned
- Jul 23, 2022
- Sex
- Female
- Sole proprietor
- No
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 | P17975 | NC | Primary |
Addresses
Primary practice location
3000 Erwin Rd
Durham, NC 27705-4504
Mailing address
3128 Forbury CV
New Hill, NC 27562-9348
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221003002911 | NC | Practitioner - Physical Therapist in Private Practice | 6002292760 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P17975 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658534400000",
"number": "1083349963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3128 FORBURY CV",
"city": "NEW HILL",
"state": "NC",
"postal_code": "275629348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 ERWIN RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054504",
"telephone_number": "919-684-2445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOPSON",
"first_name": "KELLY",
"middle_name": "MULLAHY",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-23",
"last_updated": "2022-07-23",
"certification_date": "2022-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P17975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.