Mary Patricia Hoover

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A926 Issued in MN

Practice address

22439 Evergreen Cir
Forest Lake, MN 55025-6501

Phone

(612) 840-8840

NPI assigned

May 26, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1487347456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 CENTERVILLE RD APT 215",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551272319",
            "telephone_number": "612-840-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22439 EVERGREEN CIR",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550256501",
            "telephone_number": "612-840-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "MARY",
        "middle_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MS",
            "license": "A926",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doris Herr, PSY.D., LP
• Nancy Lynn Hertz, LMFT
• Hickory Health Clinic PLLC
• Susan Marie Hoisington, PSY.D.
• Louisa Hollinshead, M.ED, LP
• Samantha Hoy
• Hunter N Huberty, PT
• Hue Medical, LLC
• Kelsey Lee Hultman, M.D.
• Infinite Health Collaborative, PA (Twin Cities Orthopedics)

• Physical Therapy Assistant in Forest Lake, MN
• Providers in Forest Lake, MN by specialty
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.