Kim L Hopkins, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2563 Issued in ME

Practice address

34 US Route 1 Box 901
Bucksport, ME 04416-0901

Phone

(207) 469-0786

Fax

(207) 469-9975

NPI assigned

Jul 4, 2006

Last updated

Feb 4, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kim L De Versterre Former name

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Rutgers New Jersey Medical School, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Bucksport Physical Therapy, LLC

  • Physical Disabilities Residential Treatment Facility
  • Bucksport, ME
  • NPI 1952629214

  Physical Therapist

  Medicare reassignment NPD
• Tardif Community Therapy & Wellness PA

  • Specialist
  • Hampden, ME
  • NPI 1588959647

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1205866209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 US ROUTE 1 BOX 901",
            "city": "BUCKSPORT",
            "state": "ME",
            "postal_code": "044160901",
            "telephone_number": "207-469-0786",
            "fax_number": "207-469-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 US ROUTE 1 BOX 901",
            "city": "BUCKSPORT",
            "state": "ME",
            "postal_code": "044160901",
            "telephone_number": "207-469-0786",
            "fax_number": "207-469-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "KIM",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT2563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "DE VERSTERRE",
            "middle_name": "L",
            "credential": "PT, CLT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• GPC,LLC (Gerald P. Couture, D.M.D.)
• Thomas A Gray
• Heather Harriman, M.S.
• Kenneth A Harvey Jr., LCSW
• Highland Sanctuary & Retreat (Highland)
• Hutchins Physical Therapy, LLC (Journey Physical Therapy)
• Donna N Kelly, LCPC-C
• Donna L Kennedy, FNP
• Virginia Ruth Lanning, FNP
• Anna Levesque

• Physical Therapist in Bucksport, ME
• Providers in Bucksport, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.