Individual provider Active NPI

Ryan Hopp, DPT

  • Physical Therapist
  • Lake Havasu City, AZ
National Provider Identifier
1447069059
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-033974 Issued in AZ
Practice address
1791 Mesquite Ave
Lake Havasu City, AZ 86403-5648
Phone
(928) 855-4248
NPI assigned
Jan 7, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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 LPT-033974 AZ Primary

Addresses

Primary practice location

1791 Mesquite Ave
Lake Havasu City, AZ 86403-5648

Mailing address

3235 Saddleback Dr
Lake Havasu City, AZ 86406-7040
Phone (928) 230-8892

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250411003176 AZ Practitioner - Physical Therapist in Private Practice 3274057138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeside Orthopedic Institute LLCGroup PAC ID 1052316445, 13 clinicians

Practice addresses (Care Compare)

1791 Mesquite Ave
Lake Havasu City, AZ 86403-5648
Phone (928) 855-4248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-033974AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Orthopedic Institute LLC CurrentSince Feb 1, 2025 Accepting new patients
Lakeside Orthopedic Institute LLC Physical Therapist CurrentSince Feb 1, 2025 Accepting new patients

Locations

1791 Mesquite Ave
Lk Havasu Cty, AZ 86403
Phone (928) 855-1444

25 Riviera Blvd
Lk Havasu Cty, AZ 86403
Phone (928) 505-7246

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": "1736208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1447069059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 SADDLEBACK DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864067040",
            "telephone_number": "928-230-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 MESQUITE AVE",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035648",
            "telephone_number": "928-855-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPP",
        "first_name": "RYAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-033974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.