Individual provider Active NPI

Kyle Wayne Hopfensperger, PT, DPT

  • Physical Therapist
  • Goose Creek, SC
National Provider Identifier
1649819301
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7659 Issued in SC
Practice address
104 Mallory Dr
Goose Creek, SC 29445-6406
Phone
(843) 996-1471
Fax
(843) 808-6986
NPI assigned
Dec 30, 2019
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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 7659 SC Primary

Addresses

Primary practice location

104 Mallory Dr
Goose Creek, SC 29445-6406

Mailing address

PO Box 1119
Goose Creek, SC 29445-1119
Phone (843) 996-1471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241231002696 SC Practitioner - Physical Therapist in Private Practice 1658808720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centrum Therapy Services LLCGroup PAC ID 1557733268, 2 clinicians

Practice addresses (Care Compare)

104 Mallory Dr
Goose Creek, SC 29445-6406
Phone (843) 996-1471

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7659SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centrum Therapy Services LLC Physical Therapist CurrentSince Dec 3, 2024 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1649819301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1119",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294451119",
            "telephone_number": "843-996-1471",
            "fax_number": "843-808-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MALLORY DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294456406",
            "telephone_number": "843-996-1471",
            "fax_number": "843-808-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPFENSPERGER",
        "first_name": "KYLE",
        "middle_name": "WAYNE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-30",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.