Provider Demographics
NPI:1043715527
Name:HOPPER, TORI N
Entity Type:Individual
Prefix:
First Name:TORI
Middle Name:N
Last Name:HOPPER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TORI
Other - Middle Name:N
Other - Last Name:GRINER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3933 YOUNGMAN DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45245-2319
Mailing Address - Country:US
Mailing Address - Phone:513-490-7779
Mailing Address - Fax:
Practice Address - Street 1:1852 S WADSWORTH BLVD APT 48
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-6827
Practice Address - Country:US
Practice Address - Phone:720-499-8201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-27
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3747P1801X
OHOTA007528224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant