Individual provider Active NPI

Livia Hoffmann, PT

  • Physical Therapist
  • Davenport, IA
National Provider Identifier
1235103672
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
02054 Issued in IA
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

Updated by the provider on May 16, 2023

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 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

IdentifierTypeStateIssuer
39881OtherIAWELLMARK PROVIDER ID
02054OtherIALICENSE

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

OrganizationSpecialtyStatusNew patients
Bone and Joint Institute of South Georgia, P.C. CurrentSince Nov 15, 2021 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.

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.

Verify at the official NPI Registry.