Nicole Susan Hodrick, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MSG002182 Issued in PA

Practice address

1009 Broad Street
Montoursville, PA 17754

Phone

(570) 368-8389

Fax

(570) 368-8391

NPI assigned

Dec 29, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17073/brand/1/csg/1/fhir/r4

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

• Lycoming Physical Therapy LTD

  • Physical Therapist
  • Montoursville, PA
  • NPI 1689652497
  NPD (past)
• Pennsylvania Institute of Neurology LLC

  • Neurology Physician
  • Selinsgrove, PA
  • NPI 1194054460
  NPD (past)

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1144599663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 BROAD STREET",
            "city": "MONTOURSVILLE",
            "state": "PA",
            "postal_code": "17754",
            "telephone_number": "570-368-8389",
            "fax_number": "570-368-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 BROAD STREET",
            "city": "MONTOURSVILLE",
            "state": "PA",
            "postal_code": "17754",
            "telephone_number": "570-368-8389",
            "fax_number": "570-368-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODRICK",
        "first_name": "NICOLE",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "CMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG002182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Edward Headley, LPC
• Keisha Daun Heivly, CRNP
• Cassandra Hess
• Robert W Heverly, RPH
• Musa A Hindi, MD
• Candace B Hoffman
• Timothy Hogan, DO
• Chelsea Howe, PT, DPT
• Cynthia Kay Hyde
• Barbara Lorraine Irvin, LBS

• Massage Therapist in Montoursville, PA
• Providers in Montoursville, PA by specialty
• Massage Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.