Individual provider Active NPI

Michael Lloyd Hooper, MA, ATC-L, CSCS

  • Athletic Trainer
  • Virginia Beach, VA
National Provider Identifier
1689095879
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
0126000715 Issued in VA
Practice address
1670 Shrike Court
BLDG 223
Virginia Beach, VA 23461
Phone
(757) 477-1953
NPI assigned
Dec 15, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 0126000715 VA Primary

Addresses

Primary practice location

1670 Shrike Court
BLDG 223
Virginia Beach, VA 23461

Mailing address

715 Long Meadow LN
Chesapeake, VA 23322-1290
Phone (757) 477-1953

Other practice location 1

715 Long Meadow Ln
Chesapeake, VA 23322-1290
Phone (757) 477-1953

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0126000715VAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1387065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1689095879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 LONG MEADOW LN",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233221290",
            "telephone_number": "757-477-1953",
            "fax_number": "757-862-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 SHRIKE COURT",
            "address_2": "BLDG 223",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23461",
            "telephone_number": "757-477-1953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 Long Meadow Ln",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233221290",
            "country_code": "US",
            "telephone_number": "757-477-1953",
            "fax_number": "757-862-3019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOOPER",
        "first_name": "MICHAEL",
        "middle_name": "LLOYD",
        "name_prefix": "Mr.",
        "credential": "MA, ATC-L, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-15",
        "last_updated": "2021-05-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126000715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.