Tamara Hopper Shoulders, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1265760 Issued in TX

Practice address

755 S Knight Dr
Edwards, CA 93523-2429

Phone

(520) 417-4305

NPI assigned

Aug 14, 2015

Last updated

Oct 21, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Tamara Hopper Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1326414269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 S KNIGHT DR",
            "city": "EDWARDS",
            "state": "CA",
            "postal_code": "935232429",
            "telephone_number": "520-417-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 S KNIGHT DR",
            "city": "EDWARDS",
            "state": "CA",
            "postal_code": "935232429",
            "telephone_number": "520-417-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOULDERS",
        "first_name": "TAMARA",
        "middle_name": "HOPPER",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-14",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1265760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "HOPPER",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tracy Adell Neal-Walden, PH.D.
• Rebecca Michelle Orr, PHARMD
• Austin Puente, IDMT
• Carolina Ramirez, M.S., CCC-SLP
• Harry Mark Richter, DDS MAGD
• Ahjonae Oriana Simpson, DOULA, CMT
• Terry Lee Coryell Stotler, MSW, BCD
• Autumn Dawn Walker, MD

• Physical Therapist in Edwards, CA
• Providers in Edwards, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.