Active NPI
Jared Kent Hodgson, PT
- Physical Therapist
- Kennewick, WA
National Provider Identifier
1235403064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60264049
- Practice address
- 907 S Auburn St
Kennewick, WA 99336-5662 - Phone
- (509) 582-0429
- Fax
- (509) 582-1182
- NPI assigned
- Feb 24, 2012
- Last updated
- Feb 24, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60264049 | WA | Primary |
Addresses
Primary practice location
907 S Auburn St
Kennewick, WA 99336-5662
Mailing address
7201 W Clearwater Ave
Suite B101
Kennewick, WA 99336-1694
Phone (509) 544-0265
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1020 S Main St
Milton Freewater, OR 97862-1534
Phone (541) 938-2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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": "1330041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330041600000",
"number": "1235403064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7201 W CLEARWATER AVE",
"address_2": "SUITE B101",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993361694",
"telephone_number": "509-544-0265",
"fax_number": "509-987-1614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 S AUBURN ST",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993365662",
"telephone_number": "509-582-0429",
"fax_number": "509-582-1182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGSON",
"first_name": "JARED",
"middle_name": "KENT",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-24",
"last_updated": "2012-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60264049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.