Active NPI
Patricia Ann Hofferber, P.T.
- Physical Therapist
- Solvang, CA
National Provider Identifier
1497954705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15187
- Practice address
- 636 Atterdag Rd
Solvang, CA 93463-2604 - Phone
- (805) 688-5645
- Fax
- (805) 693-0982
- NPI assigned
- Jul 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15187 | CA | Primary |
Addresses
Primary practice location
636 Atterdag Rd
Solvang, CA 93463-2604
Mailing address
636 Atterdag Rd
Solvang, CA 93463-2604
Phone (805) 688-5645
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15187 | CA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diversified Pain & Movement Therapy | Past | Accepting new patients |
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.
-
- Multi-Specialty Clinic/Center
- Bellevue, WA
- NPI 1477068641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1497954705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "636 ATTERDAG RD",
"city": "SOLVANG",
"state": "CA",
"postal_code": "934632604",
"telephone_number": "805-688-5645",
"fax_number": "805-693-0982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 ATTERDAG RD",
"city": "SOLVANG",
"state": "CA",
"postal_code": "934632604",
"telephone_number": "805-688-5645",
"fax_number": "805-693-0982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFERBER",
"first_name": "PATRICIA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-16",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "15187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Solvang, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.