Provider Demographics
NPI:1891304911
Name:HOCKIN, KATIE ELIZABETH (DPT)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:ELIZABETH
Last Name:HOCKIN
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3830 S HWY A1A STE C5
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32951-3145
Mailing Address - Country:US
Mailing Address - Phone:321-327-7889
Mailing Address - Fax:
Practice Address - Street 1:3830 S HWY A1A STE C5
Practice Address - Street 2:
Practice Address - City:MELBOURNE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32951-3145
Practice Address - Country:US
Practice Address - Phone:321-327-7889
Practice Address - Fax:321-372-3097
Is Sole Proprietor?:No
Enumeration Date:2020-07-24
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT33189208100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation