Provider Demographics
NPI:1689790594
Name:HOPPES, ERICA (PTA)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:
Last Name:HOPPES
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:LYNN
Other - Last Name:HOPPES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:1380 HALSTEAD AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-2002
Mailing Address - Country:US
Mailing Address - Phone:843-822-1692
Mailing Address - Fax:
Practice Address - Street 1:5417 WESLEYAN DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-6922
Practice Address - Country:US
Practice Address - Phone:757-490-0736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2306602272225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant