Active NPI
Abbi Descene Hodge, PTA
- Physical Therapy Assistant
- Springdale, AR
National Provider Identifier
1336414382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2558
- Practice address
- 3961 Abby LN
Apt. 107
Springdale, AR 72762-8876 - Phone
- (479) 619-7213
- NPI assigned
- Mar 8, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 2558 | AR | Primary |
Addresses
Primary practice location
3961 Abby LN
Apt. 107
Springdale, AR 72762-8876
Mailing address
3961 Abby LN
Apt. 107
Springdale, AR 72762-8876
Phone (479) 619-7213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331164800000",
"number": "1336414382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3961 ABBY LN",
"address_2": "APT. 107",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727628876",
"telephone_number": "479-619-7213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3961 ABBY LN",
"address_2": "APT. 107",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727628876",
"telephone_number": "479-619-7213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGE",
"first_name": "ABBI",
"middle_name": "DESCENE",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-08",
"last_updated": "2012-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AR",
"license": "2558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.