Healthcare Provider Details

I. General information

NPI: 1831472729
Provider Name (Legal Business Name): VANCE PATRICK HOOPES DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2011
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 WEST HOSPITAL DR
WHITERIVER AZ
85941
US

IV. Provider business mailing address

PO BOX 2016
TAYLOR AZ
85939-2016
US

V. Phone/Fax

Practice location:
  • Phone: 928-338-4911
  • Fax: 928-338-5508
Mailing address:
  • Phone: 480-266-6153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number9516
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: