Active NPI
Mallorie B Hopkins, DPT
- Physical Therapist
- Costa Mesa, CA
National Provider Identifier
1952966988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT300877
- Practice address
- 2651 Irvine Ave Ste 138
Costa Mesa, CA 92627-4647 - Phone
- (949) 612-7695
- NPI assigned
- May 6, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL0016259 | CO | |
| Physical Therapist | 225100000X | 40QA01853000 | NJ | |
| Physical Therapist | 225100000X | PT300877 | CA | Primary |
Addresses
Primary practice location
2651 Irvine Ave Ste 138
Costa Mesa, CA 92627-4647
Mailing address
2651 Irvine Ave Ste 138
Costa Mesa, CA 92627-4647
Phone (949) 612-7695
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT300877 | CA | MD | Physical Therapist |
| PTL0016259 | CO | MD | Physical Therapist |
| 40QA01853000 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1952966988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2651 IRVINE AVE STE 138",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926274647",
"telephone_number": "949-612-7695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2651 IRVINE AVE STE 138",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926274647",
"telephone_number": "949-612-7695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOPKINS",
"first_name": "MALLORIE",
"middle_name": "B",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-06",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL0016259",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01853000",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT300877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.