Olga Hodgetts, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05012062A Issued in IN

Practice address

418 W Cleveland Rd
Granger, IN 46530-5638

Phone

(574) 271-8424

NPI assigned

Aug 29, 2017

Last updated

Aug 29, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mrs. Olga Wodarek Former name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic and Sports Medicine Center of Northern Indiana IncGroup PAC ID 0840260105, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Orthopedic and Sports Medicine Center of Northern Indiana, Inc

  dba Osmc

  • Orthopaedic Surgery Physician
  • Elkhart, IN
  • NPI 1710085253
  Medicare reassignment Care Compare group NPD
• Orthopedic and Sports Medicine Center of Northern Indiana Inc

  dba Osmc

  • Durable Medical Equipment & Medical Supplies
  • Granger, IN
  • NPI 1962170357
  NPD
• ASC Surgical Ventures, LLC

  dba OSMC Outpatient Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Elkhart, IN
  • NPI 1083715148
  NPD (past)
• Yugo Physicaltherapy & Sports Rehab

  • Physical Therapist
  • Mishawaka, IN
  • NPI 1427227115
  NPD (past)

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503964800000",
    "number": "1295252286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53060 COUNTY MURRAY DR",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465308992",
            "telephone_number": "412-706-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 W CLEVELAND RD",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465305638",
            "telephone_number": "574-271-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGETTS",
        "first_name": "OLGA",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2017-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT020294",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05012062A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05012062A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLGA",
            "last_name": "WODAREK",
            "prefix": "MRS.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas Henry, PT
• Robert Heritz, PT
• Joseph E Hickey III, DDS
• Melissa Anne Hickey, M.D.
• Samantha M Hill, FNP-C
• Carly Hollar, BCBA
• Hook-Superx LLC (CVS Pharmacy #16777)
• Hook-Superx LLC (CVS Pharmacy #06473)
• Hook-Superx LLC (CVS Pharmacy)
• Hook-Superx LLC (CVS Pharmacy #02387)

• Physical Therapist in Granger, IN
• Providers in Granger, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; 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.