MATT HOFFER (NPI# 1639671290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639671290 |
Entity Type | Individual |
Full Name | MATT HOFFER |
Credential | CFO |
Practice Address |
1844 South St Redding CA 96001-1809 |
Practice Telephone | 5302434500 |
Practice Fax Number | 5302434554 |
Mailing Telephone | 5302434500 |
Mailing Fax Number | 5302434554 |
Enumeration Date | 2018-02-28 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | BLUE SHIELD OF CA | PG0073849001 | 01 |
CA | GFC000180 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1399 Montgomery Rd, Red Bluff, CA 960804604 | 5305282200 | 5305282290 |
Street Address |
1844 SOUTH ST |
City | REDDING |
State | CA |
Zip Code | 96001-1809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639173537 | Spectrum Prosthetics & Orthotics of Redding Inc | Prosthetic/Orthotic Supplier | 1844 South St, Redding, CA 96001-1809 | 2005-06-08 |
1750988051 | Kathryn Anderson | Orthotist | 1844 South St, Redding, CA 96001-1809 | 2020-10-08 |
1306315593 | Kirk Rose | Prosthetist | 1844 South St, Redding, CA 96001-1809 | 2018-11-16 |
1285136846 | Justin Clark | Orthotist | 1844 South St, Redding, CA 96001-1809 | 2018-02-28 |
1952802597 | Tina Zeller | Mastectomy Fitter | 1844 South St, Redding, CA 96001-1809 | 2018-02-27 |
1336640978 | Justin Wynhoff | Pedorthist | 1844 South St, Redding, CA 96001-1809 | 2018-02-27 |
1225539869 | Heather Bletcher | Mastectomy Fitter | 1844 South St, Redding, CA 96001-1809 | 2018-02-27 |
1538660170 | Jeff Zeller | Orthotist | 1844 South St, Redding, CA 96001-1809 | 2018-02-27 |
1346741980 | Tyler Rowley | Orthotist | 1844 South St, Redding, CA 96001-1809 | 2018-02-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
Find all providers in zip 96001 |
Taxonomy Code | 225000000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Orthotic Fitter |
An individual trained in the management of fitting prefabricated orthoses. |
Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730377201 | Sarah E Ramsey | Orthotic Fitter | 1477 Lincoln St, Redding, CA 96001-2641 | 2007-10-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811547474 | June Sean | Orthotic Fitter | 1830 W Olympic Blvd Ste 123, Los Angeles, CA 90006-3734 | 2019-09-16 |
1265930903 | Advanced Therapy Center | Orthotic Fitter | 3475 Torrance Blvd Ste B2, Torrance, CA 90503-5800 | 2018-01-29 |
1740796754 | Vincent Leonard Reeves | Orthotic Fitter | 1815 Orange St, National City, CA 91950-6127 | 2017-12-28 |
1801244389 | Colleen Wendtland | Orthotic Fitter | 1468 Pepper Ln, Banning, CA 92220-1469 | 2016-05-25 |
1336487263 | Covenant Billing Services, Inc | Orthotic Fitter | 5817 Pine Ave, Suite B, Chino Hills, CA 91709-6533 | 2013-01-28 |
1497041438 | Peter P Kim | Orthotic Fitter | 720 S. Ramona Ave., Suite 103, Corona, CA 92879-2147 | 2011-06-28 |
1659602423 | Suzanne Pilegaard | Orthotic Fitter | 101 Wikup Drive, Suite C, Santa Rosa, CA 95403-1375 | 2010-01-19 |
1598098139 | Ryan Michael Solberg | Orthotic Fitter | 10361 Estates Drive, Truckee, CA 96161 | 2009-09-15 |
1467683805 | Abelardo Ramos | Orthotic Fitter | 227 E Chapman Ave, Suite A, Orange, CA 92866-1534 | 2009-08-03 |
1982871166 | Healing Hands Rehab Inc | Orthotic Fitter | 23586 Calabasas Rd Ste 206, Calabasas, CA 91302-1330 | 2008-05-15 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.