Active NPI
De'Marco Hodges, OTR/L
- Occupational Therapist
- Columbus, MS
National Provider Identifier
1144484130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT2219
- Practice address
- 65 Dutch LN
Columbus, MS 39702-5523 - Phone
- (662) 241-4545
- Fax
- (662) 241-4025
- NPI assigned
- Jul 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT2219 | MS | Primary |
Addresses
Primary practice location
65 Dutch LN
Columbus, MS 39702-5523
Mailing address
65 Dutch LN
Columbus, MS 39702-5523
Phone (662) 241-4545
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216339200000",
"number": "1144484130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 DUTCH LN",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397025523",
"telephone_number": "662-241-4545",
"fax_number": "662-241-4025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 DUTCH LN",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397025523",
"telephone_number": "662-241-4545",
"fax_number": "662-241-4025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGES",
"first_name": "DE'MARCO",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-18",
"last_updated": "2008-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MS",
"license": "OT2219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.