Active NPI
Jeffrey Scott Hooker
- Orthotic Fitter
- Southern Pines, NC
National Provider Identifier
1508002569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotic Fitter
- Practice address
- 295 Pinehurst Ave Ste 2
Southern Pines, NC 28387-7052 - Phone
- (910) 246-5155
- Fax
- (910) 246-2324
- NPI assigned
- Dec 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NC | ||
| Orthotic Fitter | 225000000X | Primary |
Addresses
Primary practice location
295 Pinehurst Ave Ste 2
Southern Pines, NC 28387-7052
Mailing address
295 Pinehurst Ave Ste 2
Southern Pines, NC 28387-7052
Phone (910) 246-5155
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CFTS0569 | Other | AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS, AND PEDORTHICS, INC. | |
| 7795451 | Medicaid | NC |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269561600000",
"number": "1508002569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 PINEHURST AVE STE 2",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283877052",
"telephone_number": "910-246-5155",
"fax_number": "910-246-2324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 PINEHURST AVE STE 2",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283877052",
"telephone_number": "910-246-5155",
"fax_number": "910-246-2324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOKER",
"first_name": "JEFFREY",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-22",
"last_updated": "2010-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS, AND PEDORTHICS, INC.",
"identifier": "CFTS0569",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7795451",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southern Pines, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.