Kevin Michael Hoffman, MS, LAT, ATC, OPE-C,

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

001239 Issued in CT

Practice address

1683 Boston Tpke
Coventry, CT 06238-1105

Phone

(860) 498-7093

NPI assigned

Jul 15, 2017

Last updated

Sep 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1500076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1760904213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DRUMMOND DR APT G",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673323",
            "telephone_number": "860-638-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1683 BOSTON TPKE",
            "city": "COVENTRY",
            "state": "CT",
            "postal_code": "062381105",
            "telephone_number": "860-498-7093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 Coe Avenue Ext",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "CT",
            "postal_code": "064801430",
            "country_code": "US",
            "telephone_number": "860-638-7182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "credential": "MS, LAT, ATC, OPE-C,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-15",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT006757",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": "001239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Gardner
• Ryanne Gatti, LMFT
• Mavis Elizabeth Godley, APRN
• Susan Grace, APRN
• Kari Hernandez, PHARMD
• Shirley Holloway, MSW
• Elena Fader Hurlburt, M.A. CCC-SLP
• Julie Lynn Ingenohl, M.S. MFT
• Megan Marie Johnson, MS, OTR/L
• Hailey Rose Jones-Henry

• Athletic Trainer in Coventry, CT
• Providers in Coventry, CT by specialty
• Athletic Trainer in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.