Lance Hodge, PT
Individual provider Active NPI Physical Therapist · Madisonville, TN
NPI 1043835283 · NPPES record last updated Jun 13, 2020
Key facts
- NPI
- 1043835283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 4249 Highway 411 Ste 4
Madisonville, TN 37354-1544 - Phone
- (423) 442-4034
- NPI assigned
- Jun 13, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5119 | TN | MD | Addiction Medicine (Anesthesiology) Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
4249 Highway 411 Ste 4
Madisonville, TN 37354-1544
Mailing address
1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424
Phone (423) 238-8923
Other providers in Madisonville, TN
- Matthew Harvey
- Michaela Hauer
- Melissa W Haun
- McKenzie Taylor Henry
- Erin Himes
- Carla Brook Hooper
- Marcelle Margaret Hounslow
- Terry Howe
- Tori Hudson
- William Chandler Hutcheson
All providers in Madisonville, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.