Provider Demographics
NPI:1841480001
Name:DRAKE, JAMES ROBERT (DPT)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:ROBERT
Last Name:DRAKE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8648 OLD TROY PIKE
Mailing Address - Street 2:SUITE B
Mailing Address - City:HUBER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:45424-1069
Mailing Address - Country:US
Mailing Address - Phone:937-235-0068
Mailing Address - Fax:937-235-1442
Practice Address - Street 1:8648 OLD TROY PIKE
Practice Address - Street 2:SUITE B
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-1069
Practice Address - Country:US
Practice Address - Phone:937-235-0068
Practice Address - Fax:937-235-1442
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH11821225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist