Individual provider Active NPI

Dana Richards Hodges, PT, DPT

  • Physical Therapist
  • Mount Pleasant, SC
National Provider Identifier
1265925002
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9152 Issued in SC
Practice address
401 Seacoast Pkwy Unit D
Mount Pleasant, SC 29464-8263
Phone
(843) 969-2201
Fax
(843) 969-2202
NPI assigned
Jun 6, 2018
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9152 SC Primary

Addresses

Primary practice location

401 Seacoast Pkwy Unit D
Mount Pleasant, SC 29464-8263

Mailing address

4629 Scout Aly
North Charleston, SC 29405-5296
Phone (843) 714-8606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180810001805 SC Practitioner - Physical Therapist in Private Practice 8022366822 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Physical Therapy and Wellness Physical Therapist CurrentSince Feb 21, 2024 Accepting new patients
Rebound Physical Therapy LLC Physical Therapist CurrentSince Mar 2, 2022 Accepting new patients

Locations

401 Seacoast Pkwy
Unit D
Mount Pleasant, SC 29464
Phone (843) 969-2201

Organizations & group practices 2

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": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1265925002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4629 SCOUT ALY",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294055296",
            "telephone_number": "843-714-8606",
            "fax_number": "843-242-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SEACOAST PKWY UNIT D",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648263",
            "telephone_number": "843-969-2201",
            "fax_number": "843-969-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "DANA",
        "middle_name": "RICHARDS",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "9152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.