Andrea Hodulik, P.T., D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT.015110 Issued in OH

Practice address

2815 Dustin Rd
Suite B
Oregon, OH 43616-3495

Phone

(419) 693-0676

NPI assigned

Jan 28, 2015

Last updated

Jan 28, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• East Point Rehabilitation LLC

  • Physical Therapist
  • Oregon, OH
  • NPI 1992991574
  NPD (past)
• Healtherapy Partners Inc

  • Physical Medicine & Rehabilitation Physician
  • Toledo, OH
  • NPI 1568453355

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1508256520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 DUSTIN RD",
            "address_2": "SUITE B",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 DUSTIN RD",
            "address_2": "SUITE B",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163495",
            "telephone_number": "419-693-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODULIK",
        "first_name": "ANDREA",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.015110",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017060",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Michael Hickey, M.D.
• Kelsey Hill, PHARMD
• Nathan Hilliard, DO
• Ashley J Hirzel, LMT
• Brandon Hodge
• Christine Hoffer, RN
• Desiree L Hoffman, ATC
• Shelby Szych Holloman
• Diane Kay Holman, RN
• Mitchel Leo Holtz, RPH

• Physical Therapist in Oregon, OH
• Providers in Oregon, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.