Timothy Hodges Jr.
Individual provider Active NPI Athletic Trainer · Northfield, VT
NPI 1245003011 · NPPES record last updated Nov 3, 2023
Key facts
- NPI
- 1245003011
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 158 Harmon Dr
Northfield, VT 05663-1000 - Phone
- (802) 222-7101
- NPI assigned
- Nov 3, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
158 Harmon Dr
Northfield, VT 05663-1000
Mailing address
7 Carpenter St
Northfield, VT 05663-6785
Other providers in Northfield, VT
- Tara Anne Grogan
- Megan Hale
- Addison Anne Hall
- Christopher E. Henderson
- Peter Bert Henry
- Jessica Boucher Hurlbert
- Lisa Eve Hurwitz
- Donald F Hutchins
- Blake Vicent Ireland
- Abigail Joyal
All providers in Northfield, VT · Athletic Trainer in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.