Provider Demographics
NPI:1467931915
Name:HOPPE, MADELON (DPT)
Entity Type:Individual
Prefix:
First Name:MADELON
Middle Name:
Last Name:HOPPE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MADELON
Other - Middle Name:
Other - Last Name:WYGAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:350 NEW FIDELITY CT
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-2665
Mailing Address - Country:US
Mailing Address - Phone:919-258-2714
Mailing Address - Fax:410-648-4878
Practice Address - Street 1:1009 STADIUM DR STE 124
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-4673
Practice Address - Country:US
Practice Address - Phone:919-453-5910
Practice Address - Fax:919-453-5914
Is Sole Proprietor?:No
Enumeration Date:2018-08-07
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP18207225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist