Provider Demographics
NPI:1841443819
Name:HOCK, JAMES H (OTR/L)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:H
Last Name:HOCK
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 CUMMINGS RD
Mailing Address - Street 2:
Mailing Address - City:PUTNAM STATION
Mailing Address - State:NY
Mailing Address - Zip Code:12861-3715
Mailing Address - Country:US
Mailing Address - Phone:518-547-8335
Mailing Address - Fax:518-547-8335
Practice Address - Street 1:213 CUMMINGS RD
Practice Address - Street 2:
Practice Address - City:PUTNAM STATION
Practice Address - State:NY
Practice Address - Zip Code:12861-3715
Practice Address - Country:US
Practice Address - Phone:518-547-8335
Practice Address - Fax:518-547-8335
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-03
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY01550225X00000X, 225XE0001X, 225XP0019X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XE0001XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistEnvironmental Modification
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics