Abby J Hodge

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501018169 Issued in MI

Practice address

440 Woodward Ave
Iron Mountain, MI 49801-4631

Phone

(906) 774-3779

Fax

(906) 774-6712

NPI assigned

Feb 20, 2018

Last updated

Jul 16, 2021By 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 1

Addresses

Other names 1

• Abby J Tresedder Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bellin Memorial Hospital Inc

  dba Bellin Health Heart & Vascular Crystal Falls

  • Cardiovascular Disease Physician
  • Crystal Falls, MI
  • NPI 1376649509
  NPD
• Oconto Hospital & Medical Center, Inc.

  dba Bellin Health Daggett

  • Rural Health Clinic/Center
  • Daggett, MI
  • NPI 1043668643
  NPD
• Oconto Hospital & Medical Center, Inc.

  dba Bellin Health Menominee

  • Rural Health Clinic/Center
  • Menominee, MI
  • NPI 1356799969
  NPD
• Bellin Memorial Hospital Inc

  dba Bellin Health

  • Family Medicine Physician
  • Green Bay, WI
  • NPI 1033172390

  Physical Therapist

  NPD
• Oconto Hospital & Medical Center Inc

  dba Bellin Health Suring

  • Rural Health Clinic/Center
  • Suring, WI
  • NPI 1104418037
  NPD

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1528568151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22487",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543052487",
            "telephone_number": "920-445-7222",
            "fax_number": "920-445-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 WOODWARD AVE",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498014631",
            "telephone_number": "906-774-3779",
            "fax_number": "906-774-6712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N15995 Main St",
            "address_purpose": "LOCATION",
            "city": "Powers",
            "state": "MI",
            "postal_code": "498749608",
            "country_code": "US",
            "telephone_number": "906-497-2141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 S School Rd",
            "address_purpose": "LOCATION",
            "city": "Daggett",
            "state": "MI",
            "postal_code": "498218555",
            "country_code": "US",
            "telephone_number": "906-753-2155",
            "fax_number": "906-753-2716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 S Lincoln Rd",
            "address_purpose": "LOCATION",
            "city": "Escanaba",
            "state": "MI",
            "postal_code": "498291215",
            "country_code": "US",
            "telephone_number": "906-786-6488",
            "fax_number": "906-786-6409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGE",
        "first_name": "ABBY",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBY",
            "last_name": "TRESEDDER",
            "middle_name": "J",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Justin Anthony Heupel, MA
• Kristin Marie Heyrman, DPT
• Lauren Hicks, OTR/L
• Jennifer Rebecca Ross Hightower, PHD
• Jennifer Snow Hilgendorf, RN, BSN
• Jody Holmstrom, MSN, RN
• Richard Theiler Holmstrom, LMSW
• Ryan Alvin Holt, MD
• Roxanne M Holton
• Kathryn J Hosking, PT

• Physical Therapist in Iron Mountain, MI
• Providers in Iron Mountain, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.