Individual provider Active NPI

Molly E Hoppenjan, P.T

  • Physical Therapist
  • Dubuque, IA
National Provider Identifier
1114480712
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
093234 Issued in IA
Practice address
2300 John F Kennedy Rd
Dubuque, IA 52002-2843
Phone
(563) 588-3891
Fax
(563) 588-3893
NPI assigned
Apr 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 093234 IA Primary

Addresses

Primary practice location

2300 John F Kennedy Rd
Dubuque, IA 52002-2843

Mailing address

1705 Delhi Street, Lower Level
Dubuque, IA 52001-5900
Phone (563) 582-4170

Other names 1

  • Molly E Wubben Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240502001059 WI Practitioner - Physical Therapist in Private Practice 3173865029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Health Center IncGroup PAC ID 3072427772, 110 clinicians

Practice addresses (Care Compare)

1400 Eastside Rd
Platteville, WI 53818-9800
Phone 60834823312263

Merit-based Incentive Payment System (MIPS)

Final score
80.26 of 100Reported as group
Quality
92.24
Promoting interoperability
100
Improvement activities
40
Cost
41.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Health Center, Inc. CurrentSince Mar 11, 2024 Accepting new patients
Southwest Health Center, Inc Current Accepting new patients
Southwest Health Center, Inc. CurrentSince Mar 11, 2024 Accepting new patients
Dubuque Pediatric Therapies Physical Therapist Past Accepting new patients

Locations

1400 Eastside Rd
Platteville, WI 53818
Phone (608) 342-4712

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1114480712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 DELHI STREET, LOWER LEVEL",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520015900",
            "telephone_number": "563-582-4170",
            "fax_number": "563-582-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 JOHN F KENNEDY RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022843",
            "telephone_number": "563-588-3891",
            "fax_number": "563-588-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPPENJAN",
        "first_name": "MOLLY",
        "middle_name": "E",
        "credential": "P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "093234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "WUBBEN",
            "middle_name": "E",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.