Individual provider Active NPI

Michael Robert Hofener, DPT

  • Physical Therapist
  • Toledo, OH
National Provider Identifier
1215465448
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016950 Issued in OH
Practice address
4210 W Sylvania Ave Ste 102
Toledo, OH 43623-4501
Phone
(419) 559-5591
Fax
(866) 268-5006
NPI assigned
Jun 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 PT016950 OH Primary

Addresses

Primary practice location

4210 W Sylvania Ave Ste 102
Toledo, OH 43623-4501

Mailing address

4210 W Sylvania Ave Ste 102
Toledo, OH 43623-4501
Phone (419) 559-5591

Other practice location 1

7337 W Bancroft St
Toledo, OH 43615-3014
Phone (419) 559-5591

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170626000490 OH Practitioner - Physical Therapist in Private Practice 2860760311 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT Link LLCGroup PAC ID 4587805940, 27 clinicians
Toledo Pain Services, PLLGroup PAC ID 8921912189, 19 clinicians

Practice addresses (Care Compare)

1 Turtle Creek Cir
Swanton, OH 43558-8537
Phone (419) 559-5591

3400 Meijer Dr
Toledo, OH 43617-1166
Phone (419) 843-1369

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Toledo Pain Services, PLL CurrentSince Jan 27, 2018 Accepting new patients
Toledo Pain Services, PLL CurrentSince Jan 27, 2018 Accepting new patients
PT Link LLC Physical Therapist CurrentSince Jun 1, 2017 Accepting new patients
Hallett Enterprises, LLC Physical Therapist Past Accepting new patients

Locations

846 S Coy Rd
Ste 100
Oregon, OH 43616

1090 W South Boundary St
Ste 600
Perrysburg, OH 43551
Phone (419) 873-8280

1 Turtle Creek Cir
Swanton, OH 43558
Phone (419) 825-5323

1 Turtle Creek Cir
Ste C
Swanton, OH 43558

4210 W Sylvania Ave
Ste 102
Toledo, OH 43623
Phone (419) 350-3347

3400 Meijer Dr
Toledo, OH 43617
Phone (419) 531-3500

5151 Monroe St
Ste 104
Toledo, OH 43623

4349 Talmadge Rd
Toledo, OH 43623
Phone (419) 654-8818

7337 W Bancroft St
Toledo, OH 43615
Phone (419) 841-3477

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": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215465448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 W SYLVANIA AVE STE 102",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234501",
            "telephone_number": "419-559-5591",
            "fax_number": "866-268-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 W SYLVANIA AVE STE 102",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234501",
            "telephone_number": "419-559-5591",
            "fax_number": "866-268-5006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7337 W Bancroft St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436153014",
            "country_code": "US",
            "telephone_number": "419-559-5591",
            "fax_number": "866-268-5006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFENER",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT016950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.