Brian Scott Hoppestad, EDD, MS, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0000004932 Issued in TN

Practice address

562 Mariner Point Drive
Clinton, TN 37716

Phone

(865) 457-6465

Fax

(865) 381-1205

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Grace Rehabilitation Center, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • La Follette, TN
  • NPI 1659485936

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366539108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 MARINER POINT DRIVE",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "37716",
            "telephone_number": "865-457-6465",
            "fax_number": "865-381-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 MARINER POINT DRIVE",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "37716",
            "telephone_number": "865-457-6465",
            "fax_number": "865-381-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPPESTAD",
        "first_name": "BRIAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "EDD, MS, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000004932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROF, SUPPORT SERVICES",
            "identifier": "LICENSE NUMBER 262",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Edward Holtslag, MOTR/L
• Melissa Anne Hood, MD
• Lawrence Hookman, M.D.
• Darrin Todd Hooks
• Hope 4 Tomorrow LLC
• Hoskins Drug Store No 2 Inc
• Joan Corabeth Howard, LPN
• Stephanie Jensen Huguley, LMSW
• Lauren Iles, PTA
• Independent Physical Therapy

• Physical Therapist in Clinton, TN
• Providers in Clinton, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.