Active NPI
Lachlan James Hodge, PT
- Physical Therapist
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13881
- Practice address
- 2312 Knob Creek Rd Ste 200
Johnson City, TN 37604-2367 - Phone
- (423) 232-8302
- NPI assigned
- Sep 30, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | TN | ||
| Physical Therapist | 225100000X | 13881 | TN | Primary |
Addresses
Primary practice location
2312 Knob Creek Rd Ste 200
Johnson City, TN 37604-2367
Mailing address
PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 W Stone Dr
Suite 1D
Kingsport, TN 37660-3256
Phone (423) 578-1560
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holston Medical Group PC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
| Agilitas USA, Inc | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
350 Steeles Rd
#1
Bristol, TN 37620
Phone (423) 844-4925
2312 Knob Creek Rd
Ste 200
Johnson City, TN 37604
Phone (423) 232-8302
105 W Stone Dr
Ste 1D
Kingsport, TN 37660
Phone (423) 578-1560
5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Memphis, TN
- NPI 1649434994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1316619026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 306393",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372306393",
"telephone_number": "615-373-1350",
"fax_number": "615-373-7116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2312 KNOB CREEK RD STE 200",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042367",
"telephone_number": "423-232-8302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGE",
"first_name": "LACHLAN",
"middle_name": "JAMES",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-30",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "13881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.