MEDICARE: MS. KATIE B HOPONICK LPTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	A3042	MD

General Provider Information

NPI Number	:	1932225406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATIE B HOPONICK LPTA

Provider Business Mailing Address
First Line	:	6475 JACK LINTON DR S
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21703-2907
Country	:	US
Telephone Number	:	301-518-6492
Fax Number	:

Provider Business Practice Location Address
First Line	:	6475 JACK LINTON DR S
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21703-2907
Country	:	US
Telephone Number	:	301-518-6492
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	02/12/2026

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