Individual provider Active NPI

Nicole Danielle Hoffman, MSPT

  • Physical Therapist
  • Middleburg, PA
National Provider Identifier
1407854342
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015858 Issued in PA
Practice address
1 Dock Hill Rd
Middleburg, PA 17842-8910
Phone
(272) 220-6021
Fax
(570) 600-1144
NPI assigned
Jul 13, 2005
Last updated
Dec 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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 PT015858 PA Primary

Addresses

Primary practice location

1 Dock Hill Rd
Middleburg, PA 17842-8910

Mailing address

7 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-2123

Other practice location 1

845 Water St
Northumberland, PA 17857-1243
Phone (570) 473-3912

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nicolehoffmanandpt@fpc.medentdirect.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040512000315 PA Practitioner - Physical Therapist in Private Practice 6800883117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Practice Center PCGroup PAC ID 0244124212, 351 clinicians

Practice addresses (Care Compare)

1 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-5889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT015858PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Center, PC CurrentSince Mar 1, 2021 Accepting new patients
Family Practice Center, PC Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Central PA Rehabilitation Services, Inc. Physical Therapist Current Accepting new patients
Beth a Carr PT, Inc Past Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist Past Accepting new patients
Beth a. Carr PT Inc Physical Therapist PastSince Jan 22, 1991 Accepting new patients

Locations

131 Jpm Rd
Lewisburg, PA 17837
Phone (570) 523-6115

1 Dock Hill Rd
Middleburg, PA 17842
Phone (570) 837-5889

7 Dock Hill Rd
Middleburg, PA 17842
Phone (570) 837-2123

270 Susquehanna Valley Mall Dr
Ste 300
Selinsgrove, PA 17870
Phone (570) 743-1703

1072 Market St
Lowr
Sunbury, PA 17801
Phone (570) 217-2144

2350 E 3rd St
Williamsport, PA 17701
Phone (570) 360-5915

Interoperability endpoints

  • Direct secure messaging: nhoffman@direct.cprspt.com
  • Direct secure messaging: nicolehoffmandpt@fpc.medentdirect.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1407854342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DOCK HILL RD",
            "city": "MIDDLEBURG",
            "state": "PA",
            "postal_code": "178428910",
            "telephone_number": "570-837-2123",
            "fax_number": "570-837-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DOCK HILL RD",
            "city": "MIDDLEBURG",
            "state": "PA",
            "postal_code": "178428910",
            "telephone_number": "272-220-6021",
            "fax_number": "570-600-1144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "845 Water St",
            "address_purpose": "LOCATION",
            "city": "Northumberland",
            "state": "PA",
            "postal_code": "178571243",
            "country_code": "US",
            "telephone_number": "570-473-3912",
            "fax_number": "570-473-8731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "NICOLE",
        "middle_name": "DANIELLE",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicolehoffmanandpt@fpc.medentdirect.com",
            "affiliation": "N",
            "address_1": "1 Dock Hill Rd",
            "city": "Middleburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "178428910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middleburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.