Individual provider Active NPI

Kenneth Nicholas Hoopes, DPT

  • Physical Therapist
  • Madison, OH
National Provider Identifier
1629454228
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015541 Issued in OH
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

Updated by the provider on Aug 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20150827003194 OH Practitioner - Physical Therapist in Private Practice 5799091351 Reassigns benefits to 1 organization

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
Seeds Orthopaedics, Inc.Group PAC ID 1850389461, 6 clinicians

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

LicenseStateTypeSpecialty
PT015541OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
All Star Physical Therapy Inc Physical Therapist PastSince Aug 18, 2024 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.

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.

Verify at the official NPI Registry.