Susan Hoffert PT Professional Corp

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0508 Issued in NV

Legal business name

SUSAN HOFFERT PT PROFESSIONAL CORP

Practice address

204 S Jones Blvd
Las Vegas, NV 89107-2657

Phone

(702) 366-9309

Fax

(702) 366-0732

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Susan Hoffert, PT,IMTC,SRTCNPI 1528092814

Title

Owner

Phone

(702) 366-9309

Specialties & licenses 1

Addresses

Other names 1

• Manual Physical Therapy Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Denby Hoffert, P.T.

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1528092814
  Medicare reassignment Care Compare group NPD Authorized official
• Olivia Hall, DPT

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1558043885
  Medicare reassignment Care Compare group NPD
• Rebecca Holmes, MSPT

  • Physical Therapist
  • Henderson, NV
  • NPI 1447880307
  NPD (past)
• Wendy Hubbard, MPT

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1053475269
  NPD (past)
• Anthony M Krum, M.S.P.T.

  • Physical Therapist
  • Englewood, CO
  • NPI 1477714079
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400889600000",
    "number": "1083728695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072657",
            "telephone_number": "702-366-9309",
            "fax_number": "702-366-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072657",
            "telephone_number": "702-366-9309",
            "fax_number": "702-366-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN HOFFERT PT PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2014-05-24",
        "status": "A",
        "authorized_official_last_name": "HOFFERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-366-9309",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT,IMTC,SRTC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "0508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manual Physical Therapy Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayli Surina, PA-C
• Asia Suriyachottakul Bouddhara
• Raquel Surry
• Raveendra Babu Suryadevara, M.D
• Tejeswi Suryadevara, MBBS
• Susan R Fernandez PC
• Susan Reisinger, MD Prof. Corp.
• La Donna Susberry
• Meghan Susser
• Alys Chantell Susskind

• Physical Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2014; 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.

Verify at the official NPI Registry.