MEDICARE: SUSAN HOPKINS PTA

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	160008830	IL

General Provider Information

NPI Number	:	1538704572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN HOPKINS PTA

Provider Business Mailing Address
First Line	:	2442 E 1500 NORTH RD
Second Line	:
City	:	SHELBYVILLE
State	:	IL
Zip	:	62565-4532
Country	:	US
Telephone Number	:	217-929-1488
Fax Number	:

Provider Business Practice Location Address
First Line	:	2442 E 1500 NORTH RD
Second Line	:
City	:	SHELBYVILLE
State	:	IL
Zip	:	62565-4532
Country	:	US
Telephone Number	:	217-929-1488
Fax Number	:

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

Provider Enumeration Date	:	11/13/2019
Last Update Date	:	11/13/2019

Similar Medicare Providers

1275537805 — SHELBY AREA AMBULANCE SERVICE
Practice Location Address:

310 N CEDAR ST
SHELBYVILLE, IL
62565-1000

Practice Phone: 217-774-2608
Practice Fax:

1093712770 — SHELBY HOME MEDICAL EQUIPMENT, INC.
Practice Location Address:

1303 W SOUTH 2ND ST
SHELBYVILLE, IL
62565-1711

Practice Phone: 217-774-2424
Practice Fax: 217-774-2554

1477553998 — HSHS GOOD SHEPHERD HOSPITAL INC
Practice Location Address:

200 SOUTH CEDAR
SHELBYVILLE, IL
62565

Practice Phone: 217-774-4499
Practice Fax: 217-774-6416

1275525990 — DR. DORIS ANN BOWERS M.D.
Practice Location Address:

1215 W MAIN ST
SHELBYVILLE, IL
62565

Practice Phone: 217-774-4305
Practice Fax: 217-774-4306

1992797625 — MR. GARY D HAYDEN PA-C
Practice Location Address:

1215 W MAIN ST
SHELBYVILLE, IL
62565-1252

Practice Phone: 217-774-4305
Practice Fax: 217-774-4306

1851383418 — DR. DAVID M OLIGSCHLAEGER D.O.
Practice Location Address:

200 S CEDAR ST
SHELBYVILLE, IL
62565-1838

Practice Phone: 217-774-4400
Practice Fax: 217-774-6445

Directions to “ SUSAN HOPKINS PTA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.