Provider Demographics
NPI:1629672290
Name:HOPKINS, MARK ALAN (OTR/L)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:ALAN
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3480 YORKSHIRE MEDICAL PARK
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-1886
Mailing Address - Country:US
Mailing Address - Phone:859-263-5140
Mailing Address - Fax:859-263-5141
Practice Address - Street 1:2045 LANTERN RIDGE DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-6010
Practice Address - Country:US
Practice Address - Phone:859-293-6133
Practice Address - Fax:859-263-5141
Is Sole Proprietor?:No
Enumeration Date:2020-11-24
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY267563225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist