Active NPI
Heather Marie Hofmann-Hermon, NYS LIC SLP
- Speech-Language Pathologist
- Rochester, NY
National Provider Identifier
1609094820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 011674-1
- Practice address
- 1850 Buffalo Rd Ste 102
Rochester, NY 14624-1550 - Phone
- (585) 420-7402
- Fax
- (585) 427-7410
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 011674-1 | NY | Primary |
Addresses
Primary practice location
1850 Buffalo Rd Ste 102
Rochester, NY 14624-1550
Mailing address
1850 Buffalo Rd Ste 102
Rochester, NY 14624-1550
Phone (585) 420-7402
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011674-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Physical Therapy Services, PLLC | 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.
-
- Physical Therapist
- Rochester, NY
- NPI 1861534281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1609094820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 BUFFALO RD STE 102",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146241550",
"telephone_number": "585-420-7402",
"fax_number": "585-427-7410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 BUFFALO RD STE 102",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146241550",
"telephone_number": "585-420-7402",
"fax_number": "585-427-7410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFMANN-HERMON",
"first_name": "HEATHER",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "NYS LIC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "011674-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.