Active NPI
Nathaniel Garner Hope, DPT
- Physical Therapist
- Manitowoc, WI
National Provider Identifier
1801002480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10634-024
- Practice address
- 960 South Rapids Road
Manitowoc, WI 54220-4146 - Phone
- (920) 684-1144
- Fax
- (920) 482-0561
- NPI assigned
- May 14, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10634-024 | WI | Primary |
Addresses
Primary practice location
960 South Rapids Road
Manitowoc, WI 54220-4146
Mailing address
2220 South 42ND St. Unit#6
Manitowoc, WI 54220
Phone (920) 629-0987
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36123600 | Medicaid | WI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10634-024 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1801002480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2220 SOUTH 42ND ST. UNIT#6",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "54220",
"telephone_number": "920-629-0987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 SOUTH RAPIDS ROAD",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542204146",
"telephone_number": "920-684-1144",
"fax_number": "920-482-0561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOPE",
"first_name": "NATHANIEL",
"middle_name": "GARNER",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "10634-024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36123600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.