Individual provider Active NPI

Carolyn Anne Hoffman, PT

  • Physical Therapist
  • Baytown, TX
National Provider Identifier
1730429689
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1047611 Issued in TX
Practice address
2307 N Alexander Dr
Baytown, TX 77520-3434
Phone
(281) 837-0212
Fax
(281) 837-0670
NPI assigned
Feb 28, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 1047611 TX Primary

Addresses

Primary practice location

2307 N Alexander Dr
Baytown, TX 77520-3434

Mailing address

PO Box 2069
Baytown, TX 77522-2069
Phone (281) 837-0212

Other practice location 1

618 Cole St
Webster, TX 77598-4904
Phone (281) 338-1378

Other identifiers 1

IdentifierTypeStateIssuer
346127901MedicaidTX

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1047611TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Family Medical, PLLC CurrentSince Jul 24, 2022 Accepting new patients
Webster Surgical Specialty Hospital, LLC Past Accepting new patients
Advantage Physical Therapy Physical Therapist PastSince Jul 11, 2001 Accepting new patients

Organizations & group practices 3

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": "1362009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730429689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2069",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775222069",
            "telephone_number": "281-837-0212",
            "fax_number": "281-837-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 N ALEXANDER DR",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775203434",
            "telephone_number": "281-837-0212",
            "fax_number": "281-837-0670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "618 Cole St",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984904",
            "country_code": "US",
            "telephone_number": "281-338-1378",
            "fax_number": "281-332-3144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "CAROLYN",
        "middle_name": "ANNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1047611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "346127901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.