Active NPI
Melissa Hodgins, MSPT, ATC
- Physical Therapist
- Stanford, CA
National Provider Identifier
1083740583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 26889
- Practice address
- 341 Galvez St
Stanford, CA 94305-6106 - Phone
- (650) 723-1213
- NPI assigned
- Feb 26, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 26889 | CA | Primary |
Addresses
Primary practice location
341 Galvez St
Stanford, CA 94305-6106
Mailing address
3332 Brittan Ave Apt 17
San Carlos, CA 94070-3411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LICENSE 26889 | Other | CA | PHYSICAL THERAPY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26889 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083740583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3332 BRITTAN AVE APT 17",
"city": "SAN CARLOS",
"state": "CA",
"postal_code": "940703411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 GALVEZ ST",
"city": "STANFORD",
"state": "CA",
"postal_code": "943056106",
"telephone_number": "650-723-1213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGINS",
"first_name": "MELISSA",
"credential": "MSPT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "26889",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY",
"identifier": "LICENSE 26889",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.