Active NPI
Laura Hodge, CO
- Orthotist
- Mackinaw City, MI
National Provider Identifier
1043917172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- Practice address
- 14540 N Mackinaw Hwy
Mackinaw City, MI 49701-9507 - Phone
- (989) 497-2500
- NPI assigned
- Feb 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | Primary |
Addresses
Primary practice location
14540 N Mackinaw Hwy
Mackinaw City, MI 49701-9507
Mailing address
14540 N Mackinaw Hwy
Mackinaw City, MI 49701-9507
Phone (989) 497-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675900800000",
"number": "1043917172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14540 N MACKINAW HWY",
"city": "MACKINAW CITY",
"state": "MI",
"postal_code": "497019507",
"telephone_number": "989-497-2500",
"fax_number": "231-436-5364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14540 N MACKINAW HWY",
"city": "MACKINAW CITY",
"state": "MI",
"postal_code": "497019507",
"telephone_number": "989-497-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGE",
"first_name": "LAURA",
"credential": "CO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-09",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mackinaw City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.