Active NPI
Renee A Hodges
- Physical Therapist
- Chandler, AZ
National Provider Identifier
1417065723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 655 S Dobson Rd
BLDG B., Suite 111
Chandler, AZ 85224-5667 - Phone
- (480) 732-0099
- Fax
- (480) 732-7457
- NPI assigned
- Aug 27, 2006
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | Primary |
Addresses
Primary practice location
655 S Dobson Rd
BLDG B., Suite 111
Chandler, AZ 85224-5667
Mailing address
655 S Dobson Rd
BLDG B., Suite 111
Chandler, AZ 85224-5667
Phone (480) 732-0099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6247 | Other | AZ | LICENSE# |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6247 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Rehabilitation and Hand Centers Inc | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapist
- Chandler, AZ
- NPI 1548343635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340668800000",
"number": "1417065723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 S DOBSON RD",
"address_2": "BLDG B., SUITE 111",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852245667",
"telephone_number": "480-732-0099",
"fax_number": "480-732-7457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 S DOBSON RD",
"address_2": "BLDG B., SUITE 111",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852245667",
"telephone_number": "480-732-0099",
"fax_number": "480-732-7457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGES",
"first_name": "RENEE",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-27",
"last_updated": "2012-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE#",
"identifier": "6247",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.