Individual provider Active NPI

Wendy W Hodge, M.P.T.

  • Physical Therapist
  • Hopkinton, MA
National Provider Identifier
1093799629
Registry record updated Dec 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22936 Issued in MA
Practice address
65 South St Ste 101
Hopkinton, MA 01748-2234
Phone
(508) 721-0000
Fax
(508) 497-9201
NPI assigned
Dec 6, 2005
Last updated
Dec 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 22936 MA Primary
Physical Therapist 225100000X 8329 CO

Addresses

Primary practice location

65 South St Ste 101
Hopkinton, MA 01748-2234

Mailing address

489 Washington St
Ste 200
Auburn, MA 01501-5709
Phone (774) 696-8309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171222000498 MA Practitioner - Physical Therapist in Private Practice 8820990518 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blackstone Valley Physical Therapy Services IncGroup PAC ID 1153217138, 10 clinicians

Practice addresses (Care Compare)

670 Linwood Ave
Suite 2
Whitinsville, MA 01588-2068
Phone (508) 234-7544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22936MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Blackstone Valley Physical Therapy Services Inc Physical Therapist CurrentSince Jan 4, 2024 Accepting new patients
Physical Therapy Innovations, Inc Physical Therapist CurrentSince Oct 25, 2017 Accepting new patients
Francis P. Defalco, PC PastSince Oct 25, 2017 Accepting new patients

Locations

489 Washington St
Ste 200
Auburn, MA 01501
Phone 5087210000199

65 South St
Ste 101
Hopkinton, MA 01748

670 Linwood Ave
Ste 2
Whitinsville, MA 01588
Phone (508) 234-7544

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703289600000",
    "number": "1093799629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 WASHINGTON ST",
            "address_2": "STE 200",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015015709",
            "telephone_number": "774-696-8309",
            "fax_number": "508-497-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 SOUTH ST STE 101",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017482234",
            "telephone_number": "508-721-0000",
            "fax_number": "508-497-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "WENDY",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-06",
        "last_updated": "2023-12-23",
        "certification_date": "2023-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "22936",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "8329",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.