Joseph Michael Hoeppner, PT
Individual provider Active NPI Physical Therapist · So Burlington, VT
NPI 1295792323 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295792323
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 0400002397 (VT)
- Practice address
- 150 Kennedy Drive
So Burlington, VT 05403 - Phone
- (802) 862-4670
- Fax
- (802) 862-4431
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0400002397 | VT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leclair Therapy, Inc. | Physical Therapist | Current |
Accepting new patients |
| Champlain Medical Associates PLLC | Past |
Accepting new patients | |
| Paquette Therapy Corporation | Physical Therapist | Past |
Accepting new patients |
Locations
21 Carmichael St
Essex Junction, VT 05452
Phone (802) 878-9572
1 Towne Market Pl
Unit 33
Essex Junction, VT 05452
Phone (802) 878-9572
1 Towne Market Pl
Essex Junction, VT 05452
Phone (802) 655-1737
787 Ethan Allen Hwy
Ste 104
Milton, VT 05468
Phone (802) 878-9572
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0400002397 | VT | Yes |
Addresses
Primary practice location
150 Kennedy Drive
So Burlington, VT 05403
Mailing address
149 Meaddowwood Lane
Hinesburg, VT 05461
Phone (802) 482-4761
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OVN2099 | Medicaid | VT | |
| 5666869001 | Other | VT | CIGNA |
Other providers in So Burlington, VT
- Charles A Bookwalter
- Crafton Family Dentistry PLLC
- Everhart & Pinto PLC
- Wendy Katz Everhart
- Agnes Mary Hibbs
- Brian D Huber
- Jane Susan Kaufman
- Audra Jean Pinto
- Smart Endodontics
- Kristen Werner
All providers in So Burlington, VT · Physical Therapist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.