Active NPI
Michelle R Hoops, OTR/L
- Occupational Therapist
- Hammond, WI
National Provider Identifier
1376725218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4580-026
- Practice address
- 425 Davis St
Hammond, WI 54015-9615 - Phone
- (715) 796-2218
- Fax
- (715) 796-5286
- NPI assigned
- Dec 3, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 4580-026 | WI | MD | Occupational Therapist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4580-026 | WI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
425 Davis St
Hammond, WI 54015-9615
Mailing address
17403 350TH St
Shafer, MN 55074-9651
Phone (715) 796-2218
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41065300 | Medicaid | WI |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 5, 2008.
{
"created_epoch": "1196640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1376725218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17403 350TH ST",
"city": "SHAFER",
"state": "MN",
"postal_code": "550749651",
"telephone_number": "715-796-2218",
"fax_number": "715-796-5286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 DAVIS ST",
"city": "HAMMOND",
"state": "WI",
"postal_code": "540159615",
"telephone_number": "715-796-2218",
"fax_number": "715-796-5286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOPS",
"first_name": "MICHELLE",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-03",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "4580-026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41065300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hammond, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.