Active NPI
Corey Matthew Hoffner, DPT, CSCS
- Physical Therapist
- Fairfield, CT
National Provider Identifier
1609331008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12123
- Practice address
- 305 Black Rock Tpke
Fairfield, CT 06825-5508 - Phone
- (203) 337-2600
- NPI assigned
- Feb 10, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12123 | CT | Primary |
Addresses
Primary practice location
305 Black Rock Tpke
Fairfield, CT 06825-5508
Mailing address
43 Tram Dr
Oxford, CT 06478-1845
Phone (203) 437-5077
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 |
|---|---|---|---|
| 12123 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549756800000",
"number": "1609331008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 TRAM DR",
"city": "OXFORD",
"state": "CT",
"postal_code": "064781845",
"telephone_number": "203-437-5077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 BLACK ROCK TPKE",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068255508",
"telephone_number": "203-337-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFNER",
"first_name": "COREY",
"middle_name": "MATTHEW",
"credential": "DPT, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-10",
"last_updated": "2019-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "12123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.