Individual provider Active NPI

Christopher Cooper Hoffman

  • Physical Therapist
  • Spartanburg, SC
National Provider Identifier
1407000573
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4711 Issued in SC
Practice address
2902 E Main Street Ext
Spartanburg, SC 29307-1252
Phone
(864) 266-3536
NPI assigned
Nov 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4711 SC Primary

Addresses

Primary practice location

2902 E Main Street Ext
Spartanburg, SC 29307-1252

Mailing address

517 S Pond View Dr
Duncan, SC 29334-8905
Phone (864) 266-3536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090120000630 SC Practitioner - Physical Therapist in Private Practice 1254343775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Rehab SourceGroup PAC ID 0941363808, 3 clinicians

Practice addresses (Care Compare)

517 S Pond View Dr
Duncan, SC 29334-8905
Phone (864) 266-3526

850 John B White Sr Blvd
Spartanburg, SC 29306-4034
Phone (864) 576-8910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4711SCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arc Therapy Services, LLC PastSince Apr 30, 2003 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1226707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1407000573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 S POND VIEW DR",
            "city": "DUNCAN",
            "state": "SC",
            "postal_code": "293348905",
            "telephone_number": "864-266-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 E MAIN STREET EXT",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071252",
            "telephone_number": "864-266-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "COOPER",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-15",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.