Active NPI
Kerry Hopper
- Physical Therapy Assistant
- Dallas, TX
National Provider Identifier
1912720913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- P161581719
- Practice address
- 3100 Olympus Blvd.
Suite 500
Dallas, TX 75019 - Phone
- (866) 221-5405
- NPI assigned
- Nov 7, 2024
- Last updated
- Nov 7, 2024
- Sex
- Female
- 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 Therapy Assistant | 225200000X | P161581719 | WA | Primary |
Addresses
Primary practice location
3100 Olympus Blvd.
Suite 500
Dallas, TX 75019
Mailing address
11854 Discovery Cir
Parker, CO 80138-7873
Phone (256) 457-8669
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 |
|---|---|---|---|
| P161581719 | WA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1912720913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11854 DISCOVERY CIR",
"city": "PARKER",
"state": "CO",
"postal_code": "801387873",
"telephone_number": "256-457-8669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 OLYMPUS BLVD.",
"address_2": "SUITE 500",
"city": "DALLAS",
"state": "TX",
"postal_code": "75019",
"telephone_number": "866-221-5405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOPPER",
"first_name": "KERRY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-07",
"last_updated": "2024-11-07",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WA",
"license": "P161581719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.