Stephen J Shork, COTA
Occupational Therapy Assistant in Colchester, Connecticut
1114135787- Practice location
- 59 Harrington CT, Colchester, CT 06415-1207
- Phone
- 860-537-2339
- Fax
- —
- Last updated
- July 8, 2007
Stephen John Shork is an Occupational Therapy Assistant based in Colchester, CT. Stephen John Shork practices in Colchester, CT and has the professional credentials of COTA. The NPI Number for Stephen John Shork is 1114135787 and holds a License No. 000919 (CT). The current practice location address for Stephen John Shork is 59 Harrington CT, Colchester, CT 06415-1207 and can be reached out via phone at 860-537-2339.
Provider Profile Details
- NPI Number
- 1114135787
- Provider Name
- Stephen John Shork
- Credential
- COTA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 59 Harrington CT, Colchester, CT 06415-1207
- Phone Number
- 860-537-2339
- Primary Taxonomy
- Occupational Therapy Assistant · 224Z00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 18, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 59 Harrington CT
Colchester, CT 06415-1207 - City
- Colchester
- State
- Connecticut
- Zip
- 06415-1207
- Phone Number
- 860-537-2339
Provider Business Mailing Address Details
- Address
- 20-42 Phillips RD
Lisbon, CT 06351-7000 - City
- Lisbon
- State
- CT
- Zip
- 06351-7000
- Phone Number
- 860-376-5424
License Information
- License Number
- 000919
- License State
- CT
- Taxonomy
- Occupational Therapy Assistant · 224Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Occupational Therapy Assistants near Colchester, CT
View all Occupational Therapy Assistants in Colchester →- Beth HumphreysOccupational Therapy Assistant · NPI 1144616772
- Brianna Howe, COTA/LOccupational Therapy Assistant · NPI 1972098283
- Jillian Hersey, COTA/LOccupational Therapy Assistant · NPI 1780058503
- Kathleen Paganetti, COTA/LOccupational Therapy Assistant · NPI 1396125316
- Katlyn A HeathOccupational Therapy Assistant · NPI 1457950313
- Kimberly BrodeurOccupational Therapy Assistant · NPI 1487030573
Frequently Asked Questions
What is the NPI number of Stephen J Shork, COTA?
The NPI number of Stephen J Shork, COTA is 1114135787. It was assigned on May 18, 2007 and is currently active in the NPPES registry.
What is the specialty of Stephen J Shork, COTA?
Stephen J Shork, COTA is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in CT under license number 000919.
Where does Stephen J Shork, COTA practice?
The practice location is 59 Harrington CT, Colchester, CT 06415-1207. The office can be reached at 860-537-2339 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114135787 directly on the NPPES registry website.