Active NPI
Jacob Hopcroft, ATC
- Athletic Trainer
- Buffalo, NY
National Provider Identifier
1093483661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 004472-01
- Practice address
- 2001 Main St
Buffalo, NY 14208-1035 - Phone
- (716) 888-8450
- NPI assigned
- Aug 31, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 004472-01 | NY | Primary |
Addresses
Primary practice location
2001 Main St
Buffalo, NY 14208-1035
Mailing address
33 High Ridge Rd
Brookfield, CT 06804-3517
Other practice location 1
33 High Ridge Rd
Brookfield, CT 06804-3517
Phone (203) 297-1966
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004472-01 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712188800000",
"number": "1093483661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 HIGH RIDGE RD",
"city": "BROOKFIELD",
"state": "CT",
"postal_code": "068043517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 MAIN ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142081035",
"telephone_number": "716-888-8450"
}
],
"practiceLocations": [
{
"address_1": "33 High Ridge Rd",
"address_purpose": "LOCATION",
"city": "Brookfield",
"state": "CT",
"postal_code": "068043517",
"country_code": "US",
"telephone_number": "203-297-1966",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOPCROFT",
"first_name": "JACOB",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-31",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "004472-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.