Individual provider Active NPI

Wendy M Clinton-Hodnett, PT

  • Physical Therapist
  • Portageville, NY
National Provider Identifier
1386761120
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
010480 Issued in NY
Practice address
11945 Wiscoy Rd
Portageville, NY 14536-9613
Phone
(585) 567-4219
NPI assigned
Mar 26, 2007
Last updated
Apr 18, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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 010480 NY Primary

Addresses

Primary practice location

11945 Wiscoy Rd
Portageville, NY 14536-9613

Mailing address

11945 Wiscoy Rd
Portageville, NY 14536-9613
Phone (585) 567-4219

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110414000706 NY Practitioner - Physical Therapist in Private Practice 2264616374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8 Ctr St
Cuba, NY 14727-1002
Phone (585) 968-2808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010480NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Today Physical Therapy and Occupational Therapy PLLC Physical Therapist CurrentSince Mar 16, 2011 Accepting new patients

Locations

8 Center St
Cuba, NY 14727
Phone (585) 968-2808

2416 Constitution Ave
Olean, NY 14760
Phone (716) 372-2808

Organizations & group practices 1

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1386761120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11945 WISCOY RD",
            "city": "PORTAGEVILLE",
            "state": "NY",
            "postal_code": "145369613",
            "telephone_number": "585-567-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11945 WISCOY RD",
            "city": "PORTAGEVILLE",
            "state": "NY",
            "postal_code": "145369613",
            "telephone_number": "585-567-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINTON-HODNETT",
        "first_name": "WENDY",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "010480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portageville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.