Active NPI
Jacob Daniel Hoermann, PT, DPT
- Physical Therapist
- Fredericksburg, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3124839
- Practice address
- 1316 S State Highway 16
Fredericksburg, TX 78624-5058 - Phone
- (830) 997-2001
- Fax
- (830) 997-0781
- NPI assigned
- Jan 6, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 3124839 | TX | Primary |
Addresses
Primary practice location
1316 S State Highway 16
Fredericksburg, TX 78624-5058
Mailing address
117 Edgewood Dr
Fredericksburg, TX 78624-2935
Phone (830) 889-0050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1316 S State Hwy 16
Sports Medicine and Physical Therapy
Fredericksburg, TX 78624-5058
Phone (830) 997-2001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cole Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Revive Physical Therapy Inc | Past | Accepting new patients |
Locations
1316 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 798-3497
21122 State Highway 71 W
Unit B
Spicewood, TX 78669
Phone (512) 264-9981
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Fredericksburg, TX
- NPI 1255342093
Physical Therapist
-
- Physical Therapy Clinic/Center
- Spicewood, TX
- NPI 1942205679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1811536006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 EDGEWOOD DR",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786242935",
"telephone_number": "830-889-0050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1316 S STATE HIGHWAY 16",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786245058",
"telephone_number": "830-997-2001",
"fax_number": "830-997-0781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOERMANN",
"first_name": "JACOB",
"middle_name": "DANIEL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-06",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "3124839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.