Active NPI
Michael Lloyd Hooper, MA, ATC-L, CSCS
- Athletic Trainer
- Virginia Beach, VA
National Provider Identifier
1689095879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0126000715
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0126000715 | VA | MD | Athletic 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.