Individual provider Active NPI

Marcee Watkins Hopper, P.T.

  • Physical Therapist
  • Corbin, KY
National Provider Identifier
1164419289
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2056 Issued in KY
Practice address
1805 S Main St
Suite 5
Corbin, KY 40701-2406
Phone
(606) 526-1019
Fax
(606) 526-1038
NPI assigned
Oct 4, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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 2056 KY Primary

Addresses

Primary practice location

1805 S Main St
Suite 5
Corbin, KY 40701-2406

Mailing address

1805 S Main St
Suite 5
Corbin, KY 40701-2406
Phone (606) 526-1019

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120225000147 KY Practitioner - Physical Therapist in Private Practice 4587756283 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hopper Physical Therapy, LLC CurrentSince Apr 1, 2003 Accepting new patients
Revolution Physical Therapy Corbin Physical Therapist Past Accepting new patients
Southeastern Kentucky Physical Therapy Clinic Inc Past Accepting new patients

Locations

1805 S Main St
Ste 5
Woodbine, KY 40701
Phone (606) 215-3228

Organizations & group practices 3

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320624000000",
    "number": "1164419289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 S MAIN ST",
            "address_2": "SUITE 5",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012406",
            "telephone_number": "606-526-1019",
            "fax_number": "606-526-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 S MAIN ST",
            "address_2": "SUITE 5",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012406",
            "telephone_number": "606-526-1019",
            "fax_number": "606-526-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPPER",
        "first_name": "MARCEE",
        "middle_name": "WATKINS",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2011-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "2056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; 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.