Healthcare Provider Details

I. General information

NPI: 1609962687
Provider Name (Legal Business Name): JAMES PRICE STOKER PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10626 CLEMSON BLVD
SENECA SC
29678-4526
US

IV. Provider business mailing address

PO BOX 1844
CLEMSON SC
29633-1844
US

V. Phone/Fax

Practice location:
  • Phone: 864-482-0064
  • Fax: 864-482-0081
Mailing address:
  • Phone: 864-482-0064
  • Fax: 864-482-0081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number2733
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number2733
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: