Active NPI
Livia Hoffmann, PT
- Physical Therapist
- Davenport, IA
National Provider Identifier
1235103672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 02054
- Practice address
- 6101 Northwest Blvd
Davenport, IA 52806-1861 - Phone
- (563) 322-0971
- NPI assigned
- Feb 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 02054 | IA | Primary |
Addresses
Primary practice location
6101 Northwest Blvd
Davenport, IA 52806-1861
Mailing address
2300 53Rd Ave Ste 100
Bettendorf, IA 52722-7565
Phone (563) 322-0971
Other practice location 1
2300 53rd Ave Ste Ll02
Bettendorf, IA 52722-7565
Phone (563) 449-7000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39881 | Other | IA | WELLMARK PROVIDER ID |
| 02054 | Other | IA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bone and Joint Institute of South Georgia, P.C. | Current | Accepting new patients | |
| Ora Orthopedics, PC | Past | Accepting new patients |
Locations
110 Professional Ct
Jesup, GA 31545
Phone (912) 427-6029
1064 N Macon St
Jesup, GA 31545
1064 N Macon St
Jesup, GA 31545
1912 Memorial Dr
Ste G
Waycross, GA 31501
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Jesup, GA
- NPI 1528104510
-
- Orthopaedic Surgery Physician
- Durant, IA
- NPI 1639159700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1235103672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 53RD AVE STE 100",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527227565",
"telephone_number": "563-322-0971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6101 NORTHWEST BLVD",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528061861",
"telephone_number": "563-322-0971"
}
],
"practiceLocations": [
{
"address_1": "2300 53rd Ave Ste Ll02",
"address_purpose": "LOCATION",
"city": "Bettendorf",
"state": "IA",
"postal_code": "527227565",
"country_code": "US",
"telephone_number": "563-449-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOFFMANN",
"first_name": "LIVIA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-14",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "02054",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK PROVIDER ID",
"identifier": "39881",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "02054",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.