Active NPI
Nicole Rose Hofstetter, PTA
- Physical Therapy Assistant
- Lincoln, NE
National Provider Identifier
1346420460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 586
- Practice address
- 7032 Eagle Dr
Lincoln, NE 68507-2146 - Phone
- (402) 540-5734
- NPI assigned
- Nov 6, 2007
- 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 Therapy Assistant | 225200000X | 586 | NE | Primary |
Addresses
Primary practice location
7032 Eagle Dr
Lincoln, NE 68507-2146
Mailing address
7032 Eagle Dr.
Lincoln, NE 68507
Phone (402) 540-5734
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 586 | NE | MD | Gerontology Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194307200000",
"number": "1346420460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7032 EAGLE DR.",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68507",
"telephone_number": "402-540-5734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7032 EAGLE DR",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685072146",
"telephone_number": "402-540-5734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFSTETTER",
"first_name": "NICOLE",
"middle_name": "ROSE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-06",
"last_updated": "2007-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NE",
"license": "586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.