Individual provider Active NPI

Sandra Sue Hopp-Edwards, P.T/OWNER

  • Physical Therapist
  • McPherson, KS
National Provider Identifier
1396744553
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-00549 Issued in KS
Practice address
1015 S Main St
McPherson, KS 67460-5735
Phone
(620) 241-1825
NPI assigned
Jul 20, 2005
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
00549KSMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Continucare LLC Physical Therapist PastSince Aug 1, 1998 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-00549 KS Primary

Addresses

NPPES NPI Registry

Primary practice location

1015 S Main St
McPherson, KS 67460-5735

Mailing address

2378 8TH Avenue, Box 187
Marquette, KS 67464-8843
Phone (785) 227-2533

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
100330590AMedicaidKS
059740OtherKSBLUE CROSS BLUE SHIELD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 6, 2012.

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1396744553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2378 8TH AVENUE, BOX 187",
            "city": "MARQUETTE",
            "state": "KS",
            "postal_code": "674648843",
            "telephone_number": "785-227-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S MAIN ST",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674605735",
            "telephone_number": "620-241-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPP-EDWARDS",
        "first_name": "SANDRA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "P.T/OWNER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-00549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100330590A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "059740",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McPherson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.