Active NPI
Hopp Physical Therapy, Inc.
- Clinic/Center
- Council Bluffs, IA
National Provider Identifier
1154516136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 01422
- Legal business name
- HOPP PHYSICAL THERAPY, INC.
- Practice address
- 201 W Broadway
Council Bluffs, IA 51503-9004 - Phone
- (712) 329-9419
- Fax
- (712) 329-0329
- NPI assigned
- Sep 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dennis William Hopp
- Title
- Owner/PT
- Phone
- (712) 329-9419
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 01422 | IA | Primary |
Addresses
Primary practice location
201 W Broadway
Council Bluffs, IA 51503-9004
Mailing address
201 W Broadway
Council Bluffs, IA 51503-9004
Phone (712) 329-9419
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0263582 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
201 W Broadway
Council Bluffs, IA 51503
Phone (712) 329-0367
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Council Bluffs, IA
- NPI 1881673556
-
- Physical Therapist
- Council Bluffs, IA
- NPI 1073916359
-
- Physical Therapist
- Council Bluffs, IA
- NPI 1831592708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189555200000",
"number": "1154516136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W BROADWAY",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515039004",
"telephone_number": "712-329-9419",
"fax_number": "712-329-0329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W BROADWAY",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515039004",
"telephone_number": "712-329-9419",
"fax_number": "712-329-0329"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPP PHYSICAL THERAPY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-12",
"last_updated": "2007-09-12",
"status": "A",
"authorized_official_last_name": "HOPP",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER/PT",
"authorized_official_telephone_number": "712-329-9419",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "IA",
"license": "01422",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0263582",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.