Active NPI
Kenneth Nicholas Hoopes, DPT
- Physical Therapist
- Madison, OH
National Provider Identifier
1629454228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT015541
- Practice address
- 2579 Walter Green CMNS
Madison, OH 44057-2449 - Phone
- (440) 466-5447
- Fax
- (440) 466-5455
- NPI assigned
- Aug 5, 2015
- 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 | PT015541 | OH | Primary |
Addresses
Primary practice location
2579 Walter Green CMNS
Madison, OH 44057-2449
Mailing address
416 W 27TH St
Ashtabula, OH 44004-4975
Phone (440) 997-5427
Other practice location 1
416 W 27th St
Ashtabula, OH 44004-4975
Phone (440) 997-5427 ext. 106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
416 W 27TH St
Ashtabula, OH 44004-4975
Phone (440) 997-5427
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT015541 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Star Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Ashtabula, OH
- NPI 1023010881
-
- Physical Therapist
- Ashtabula, OH
- NPI 1124347737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1629454228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 W 27TH ST",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "440044975",
"telephone_number": "440-997-5427",
"fax_number": "440-997-5486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2579 WALTER GREEN CMNS",
"city": "MADISON",
"state": "OH",
"postal_code": "440572449",
"telephone_number": "440-466-5447",
"fax_number": "440-466-5455"
}
],
"practiceLocations": [
{
"address_1": "416 W 27th St",
"address_purpose": "LOCATION",
"city": "Ashtabula",
"state": "OH",
"postal_code": "440044975",
"country_code": "US",
"telephone_number": "440-997-5427 x106",
"fax_number": "440-997-5486",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOOPES",
"first_name": "KENNETH",
"middle_name": "NICHOLAS",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-05",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT015541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.