Individual provider Active NPI

Deborah Ann Hock, PHYSICAL THERAPIST

  • Specialist
  • Sanborn, NY
National Provider Identifier
1184909939
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
005686-1 Issued in NY
Practice address
4124 Saunders Settlement Rd
Sanborn, NY 14132-9523
Phone
(800) 836-7510
NPI assigned
Oct 12, 2011
Last updated
Oct 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 005686-1 NY Primary

Addresses

Primary practice location

4124 Saunders Settlement Rd
Sanborn, NY 14132-9523

Mailing address

4124 Saunders Settlement Rd
Sanborn, NY 14132-9523
Phone (800) 836-7510

Other identifiers 1

IdentifierTypeStateIssuer
005686-1OtherNYNEW YORK STATE PHYSICAL THERAPY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
005686-1NYMDSpecialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1184909939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 SAUNDERS SETTLEMENT RD",
            "city": "SANBORN",
            "state": "NY",
            "postal_code": "141329523",
            "telephone_number": "800-836-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 SAUNDERS SETTLEMENT RD",
            "city": "SANBORN",
            "state": "NY",
            "postal_code": "141329523",
            "telephone_number": "800-836-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOCK",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "005686-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE PHYSICAL THERAPY LICENSE",
            "identifier": "005686-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanborn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.