Active NPI
John Hancock
- Occupational Therapist
- Portsmouth, OH
National Provider Identifier
1215419973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT007742
- Practice address
- 2125 Royce St
Portsmouth, OH 45662-4714 - Phone
- (740) 354-6635
- NPI assigned
- Aug 29, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT007742 | OH | Primary |
Addresses
Primary practice location
2125 Royce St
Portsmouth, OH 45662-4714
Mailing address
1611 Kinneys LN
Portsmouth, OH 45662-3115
Phone (740) 464-9885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT007742 | Other | OH | OHIO OTPTAT BOARD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT007742 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535500800000",
"number": "1215419973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 KINNEYS LN",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456623115",
"telephone_number": "740-464-9885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2125 ROYCE ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456624714",
"telephone_number": "740-354-6635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANCOCK",
"first_name": "JOHN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-29",
"last_updated": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT007742",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO OTPTAT BOARD",
"identifier": "OT007742",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.