Basic Information
| Provider Information | |||||||||
| NPI: | 1912051467 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOPKINS | ||||||||
| FirstName: | PAULA | ||||||||
| MiddleName: | JEAN | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8 TANGLEWOOD RD | ||||||||
| Address2: | SPORTS & WELLNESS PT | ||||||||
| City: | PLAINVILLE | ||||||||
| State: | MA | ||||||||
| PostalCode: | 027625023 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5083806137 | ||||||||
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| Practice Location | |||||||||
| Address1: | 800 CHESTNUT ST | ||||||||
| Address2: | SPORTS & WELLNESS PT | ||||||||
| City: | FRANKLIN | ||||||||
| State: | MA | ||||||||
| PostalCode: | 020381271 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5085285723 | ||||||||
| FaxNumber: | 5085285729 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/22/2007 | ||||||||
| LastUpdateDate: | 12/29/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 8093 | MA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | 478966 | 01 | TUFTS | OTHER | Y467417 | 01 | BCBS | OTHER |