Susan Marie Hofmann, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

00313 Issued in MO

Practice address

16027 Autumn Oaks Cir
Ellisville, MO 63021-5987

Phone

(636) 256-4560

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Missouri, Columbia School of Medicine, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188345600000",
    "number": "1720124993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16027 AUTUMN OAKS CIR",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630215987",
            "telephone_number": "636-256-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16027 AUTUMN OAKS CIR",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630215987",
            "telephone_number": "636-256-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFMANN",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "00313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Hendrix, D.C., M.S.
• Kimberly A Herren, COTA/L
• Michael Hicks
• Judy Hillyer, LCSW
• Jacob Hirsekorn, PHARMD
• Shannon Lynch Holbrook, LCSW
• Camryn Holt, DPT
• Eileen Holt, NP
• Ari Holtz, PHD
• Hopeful Healing Counseling, LLC

• Physical Therapist in Ellisville, MO
• Providers in Ellisville, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.