| Hopp Physical Therapy, Inc. | |
|
201 W Broadway Council Bluffs IA 51503-9004 | |
| (712) 329-9419 | |
| (712) 329-0329 |
| Full Name | Hopp Physical Therapy, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 W Broadway, Council Bluffs, Iowa |
| Authorized Official Name and Position | Dennis William Hopp (OWNER/PT) |
| Authorized Official Contact | 7123299419 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hopp Physical Therapy, Inc. 201 W Broadway Council Bluffs IA 51503-9004 Ph: (712) 329-9419 | Hopp Physical Therapy, Inc. 201 W Broadway Council Bluffs IA 51503-9004 Ph: (712) 329-9419 |
| NPI Number | 1154516136 |
|---|---|
| Provider Enumeration Date | 09/12/2007 |
| Last Update Date | 09/12/2007 |
| Medicare PECOS PAC ID | 2163317553 |
|---|---|
| Medicare Enrollment ID | O20131204000324 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154516136 | NPI | - | NPPES |
| 0263582 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 01422 (Iowa) | Primary |
| Provider Name | Dennis W Hopp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881673556 PECOS PAC ID: 5496640880 Enrollment ID: I20040701000225 |
| Provider Name | Staci S Liliedahl-matiyow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831592708 PECOS PAC ID: 8729304621 Enrollment ID: I20150312001764 |
| Provider Name | Alisha A Baas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073916359 PECOS PAC ID: 6406173251 Enrollment ID: I20150316002308 |
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