Provider Demographics
NPI:1912970567
Name:HOPKINS, SEAN JAMES (PT, MS, DPT)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:JAMES
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:PT, MS, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7619 STATE HIGHWAY 80
Mailing Address - Street 2:
Mailing Address - City:COOPERSTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13326-3315
Mailing Address - Country:US
Mailing Address - Phone:315-858-5494
Mailing Address - Fax:
Practice Address - Street 1:358 MADISON ST
Practice Address - Street 2:
Practice Address - City:WATERVILLE
Practice Address - State:NY
Practice Address - Zip Code:13480-1116
Practice Address - Country:US
Practice Address - Phone:315-841-3222
Practice Address - Fax:315-841-4023
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024521225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRA7871Medicare ID - Type Unspecified