Ethan J Hopp, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

770 N Cotner Blvd Ste 125
Lincoln, NE 68505-2377

Phone

(402) 464-6141

Fax

(402) 464-6142

NPI assigned

Apr 22, 2022

Last updated

Apr 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1154065548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 N COTNER BLVD STE 125",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052377",
            "telephone_number": "402-464-6141",
            "fax_number": "402-464-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 N COTNER BLVD STE 125",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052377",
            "telephone_number": "402-464-6141",
            "fax_number": "402-464-6142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPP",
        "first_name": "ETHAN",
        "middle_name": "J",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "suejeffreypt@gmail.com",
            "affiliation": "N",
            "address_1": "770 N Cotner Blvd Ste 125",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685052377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristina Hopkins
• Nadiyah Hopkins
• Olivia Angela Hopkins
• Shelley Ann Hopkins
• Victoria Hopkins
• Emilea Kay Hoppe, PLMHP
• Kelsey Hoppe, CRNA
• Madelaine Hoppe
• Heidi J Hopper, PA-C
• Deborah Ruth Hopping

• Physical Therapy Assistant in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Physical Therapy Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.