Provider Demographics
NPI:1144506817
Name:HOPKINS, ROBERT LAWRENCE (PT)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:LAWRENCE
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:BOBBY
Other - Middle Name:
Other - Last Name:HOPKINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:110 OAKTREE
Mailing Address - Street 2:ROCKPORT
Mailing Address - City:ROCKPORT
Mailing Address - State:TX
Mailing Address - Zip Code:78382
Mailing Address - Country:US
Mailing Address - Phone:830-214-5647
Mailing Address - Fax:361-214-3768
Practice Address - Street 1:1004 EAST MAIN ST.
Practice Address - Street 2:SUITE D
Practice Address - City:ROCKPORT
Practice Address - State:TX
Practice Address - Zip Code:78382
Practice Address - Country:US
Practice Address - Phone:361-450-0080
Practice Address - Fax:361-214-3768
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-26
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1210398225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX390512701Medicaid