Healthcare Provider Details

I. General information

NPI: 1447869045
Provider Name (Legal Business Name): JADE HOFFMAN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2020
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 BURKARTH RD
WARRENSBURG MO
64093-3101
US

IV. Provider business mailing address

2321 NE 23RD TER
BLUE SPRINGS MO
64029-8650
US

V. Phone/Fax

Practice location:
  • Phone: 660-262-7573
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number11-06153
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2019038277
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: