Individual provider Active NPI

Erin Kathleen Hodell, DPT

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1154049427
Registry record updated Sep 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P22962 Issued in NC
Practice address
3030 Randolph Rd Ste 105B
Charlotte, NC 28211-1365
Phone
(704) 512-4420
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2024

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 11503 SC
Physical Therapist 225100000X P22962 NC Primary

Addresses

Primary practice location

3030 Randolph Rd Ste 105B
Charlotte, NC 28211-1365

Mailing address

3030 Randolph Rd Ste 105B
Charlotte, NC 28211-1365
Phone (704) 512-4420

Other practice location 1

1105 12th St
Cayce, SC 29033-3304
Phone (803) 973-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221013000963 SC Practitioner - Physical Therapist in Private Practice 2668848805 Reassigns benefits to 1 organization
I20250905001277 NC Practitioner - Physical Therapist in Private Practice 2668848805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrium Health Specialty Network IncGroup PAC ID 5193245801, 248 clinicians

Practice addresses (Care Compare)

3030 Randolph Rd
Charlotte, NC 28211-1368
Phone (704) 512-4450

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P22962NCMDPhysical Therapist
11503SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Sep 5, 2024 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Sep 5, 2024 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Atrium Health Specialty Network Inc Physical Therapist CurrentSince Oct 1, 2025 Accepting new patients

Locations

3030 Randolph Rd
Charlotte, NC 28211
Phone (704) 512-4420

4525 Cameron Valley Pkwy
Charlotte, NC 28211
Phone (704) 355-5100

3030 Randolph Rd
Ste 105B
Charlotte, NC 28211
Phone (704) 512-4420

704 Gold Hill Rd
Ste 203
Fort Mill, SC 29715
Phone (803) 835-0405

134 Professional Park Dr
Rock Hill, SC 29732
Phone (803) 329-3130

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725148800000",
    "number": "1154049427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 RANDOLPH RD STE 105B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111365",
            "telephone_number": "704-512-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 RANDOLPH RD STE 105B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111365",
            "telephone_number": "704-512-4420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 12th St",
            "address_purpose": "LOCATION",
            "city": "Cayce",
            "state": "SC",
            "postal_code": "290333304",
            "country_code": "US",
            "telephone_number": "803-973-0100",
            "fax_number": "803-973-0117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODELL",
        "first_name": "ERIN",
        "middle_name": "KATHLEEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2024-09-01",
        "certification_date": "2024-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11503",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2024; 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.