Provider Demographics
NPI:1356638928
Name:NORTHCUTT, JAMES HARLOW II (OTR, MOT)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:HARLOW
Last Name:NORTHCUTT
Suffix:II
Gender:M
Credentials:OTR, MOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4009 BELLAIRE BLVD
Mailing Address - Street 2:SUITE M
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-1168
Mailing Address - Country:US
Mailing Address - Phone:713-839-1800
Mailing Address - Fax:713-839-7931
Practice Address - Street 1:4009 BELLAIRE BLVD
Practice Address - Street 2:SUITE M
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-1168
Practice Address - Country:US
Practice Address - Phone:713-839-1800
Practice Address - Fax:713-839-7931
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-05
Last Update Date:2014-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX114271225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist