Individual provider Active NPI

Mary Love Hodge

  • Physical Therapist
  • Vestavia Hills, AL
National Provider Identifier
1356047880
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH11209 Issued in AL
Practice address
1280 Columbiana Rd Ste 160
Vestavia Hills, AL 35216-1604
Phone
(205) 968-1283
NPI assigned
Feb 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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 PTH11209 AL Primary

Addresses

Primary practice location

1280 Columbiana Rd Ste 160
Vestavia Hills, AL 35216-1604

Mailing address

2823 Greystone Commercial Blvd
Hoover, AL 35242-2660

Other practice location 1

720 32nd St S
Birmingham, AL 35233-3516
Phone (205) 731-2177

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230403000210 AL Practitioner - Physical Therapist in Private Practice 0042685224 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy South Mountain BrookGroup PAC ID 4688739287, 10 clinicians

Practice addresses (Care Compare)

205 Country Club Park
Mountain BRK, AL 35213-4237
Phone (205) 871-0777

Merit-based Incentive Payment System (MIPS)

Final score
92.94 of 100Reported as group
Quality
99.49
Improvement activities
40
Cost
77.16

Merit-based Incentive Payment System (MIPS)

Final score
94.95 of 100Reported as group
Quality
98.5
Improvement activities
40
Cost
85.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH11209ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy South Homewood LLC Physical Therapist CurrentSince Feb 13, 2023 Accepting new patients
Therapy South Lakeview LLC Physical Therapist CurrentSince Feb 13, 2023 Accepting new patients
Therapy South Mountain Brook Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Therapy South, LLC Physical Therapist PastSince Feb 12, 2023 Accepting new patients

Locations

720 32nd St S
Birmingham, AL 35233
Phone (205) 731-2177

2823 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 408-1713

205 Country Club Park
Mountain Brk, AL 35213
Phone (205) 871-0777

1280 Columbiana Rd
Ste 160
Vestavia Hills, AL 35216
Phone (205) 968-1283

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.

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1356047880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 GREYSTONE COMMERCIAL BLVD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352422660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 COLUMBIANA RD STE 160",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161604",
            "telephone_number": "205-968-1283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 32nd St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352333516",
            "country_code": "US",
            "telephone_number": "205-731-2177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGE",
        "first_name": "MARY LOVE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH11209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.