Individual provider Active NPI

Jenifer Ann Hoover, PTA, MT

  • Physical Therapy Assistant
  • Frisco, TX
National Provider Identifier
1982866612
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2052768 Issued in TX
Practice address
3010 Gaylord Pkwy
Suite 140
Frisco, TX 75034-8664
Phone
(972) 377-4111
Fax
(972) 377-4148
NPI assigned
Jun 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2052768 TX Primary
Massage Therapist 225700000X

Addresses

Primary practice location

3010 Gaylord Pkwy
Suite 140
Frisco, TX 75034-8664

Mailing address

3010 Gaylord Pkwy
Suite 140
Frisco, TX 75034-8664
Phone (972) 377-4111

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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
2052768TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Physical Therapy and Sports Medicine Center of Frisco, P.L.L.C. PastSince Jan 1, 2003 Accepting new patients
Peak Physical Therapy, LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1982866612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 GAYLORD PKWY",
            "address_2": "SUITE 140",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750348664",
            "telephone_number": "972-377-4111",
            "fax_number": "972-377-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 GAYLORD PKWY",
            "address_2": "SUITE 140",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750348664",
            "telephone_number": "972-377-4111",
            "fax_number": "972-377-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "JENIFER",
        "middle_name": "ANN",
        "credential": "PTA, MT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2052768",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.