Individual provider Active NPI

Jordan R Hodge, DPT

  • Physical Therapist
  • Pittsford, NY
National Provider Identifier
1215713524
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12305 Issued in SC
Practice address
3819 Monroe Ave
Pittsford, NY 14534-1336
Phone
(585) 586-3819
NPI assigned
Sep 1, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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 050775 NY
Physical Therapist 225100000X 12305 SC Primary

Addresses

Primary practice location

3819 Monroe Ave
Pittsford, NY 14534-1336

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

3100 Olympus Blvd.
suite 500
Dallas, TX 75019
Phone (315) 706-7749

Other practice location 2

915 Folly Rd Ste J
Charleston, SC 29412-3907
Phone (843) 203-6955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240618003556 SC Practitioner - Physical Therapist in Private Practice 2567816382 Reassigns benefits to 3 organizations
I20250130000628 NY Practitioner - Physical Therapist in Private Practice 2567816382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regain Physical Therapy PLLCGroup PAC ID 3971766676, 10 clinicians

Practice addresses (Care Compare)

3819 Monroe Ave
Pittsford, NY 14534-1336
Phone (585) 586-3819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
050775NYMDOncology Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Health Services Physical Therapist CurrentSince Apr 22, 2024 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Nov 3, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Apr 22, 2024 Accepting new patients
Regain Physical Therapy PLLC Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Nov 3, 2024 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Apr 22, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Apr 22, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

3819 Monroe Ave
Pittsford, NY 14534
Phone (585) 586-3819

625 Skylark Dr
Unit B
Charleston, SC 29407
Phone (843) 793-1596

1812 Sam Rittenberg Blvd
Ste 18
Charleston, SC 29407
Phone (843) 779-7377

915 Folly Rd
Ste J
Charleston, SC 29412
Phone (843) 203-6955

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772

Organizations & group practices 7

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": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1215713524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 MONROE AVE",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341336",
            "telephone_number": "585-586-3819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Olympus Blvd.",
            "address_2": "suite 500",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75019",
            "country_code": "US",
            "telephone_number": "315-706-7749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 Folly Rd Ste J",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294123907",
            "country_code": "US",
            "telephone_number": "843-203-6955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGE",
        "first_name": "JORDAN",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-01",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050775",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.