Provider Demographics
NPI:1629775226
Name:HOPPER, LUKE A (DPT)
Entity type:Individual
Prefix:
First Name:LUKE
Middle Name:A
Last Name:HOPPER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1476 COUNTY ROAD 234
Mailing Address - Street 2:
Mailing Address - City:MOULTON
Mailing Address - State:AL
Mailing Address - Zip Code:35650-8808
Mailing Address - Country:US
Mailing Address - Phone:256-606-5527
Mailing Address - Fax:
Practice Address - Street 1:183 MAIN ST STE D
Practice Address - Street 2:
Practice Address - City:TRUSSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35173-1496
Practice Address - Country:US
Practice Address - Phone:205-655-1009
Practice Address - Fax:205-655-1264
Is Sole Proprietor?:No
Enumeration Date:2023-02-14
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH11244225100000X
TN0000015335225100000X
FLPT42841225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist