Molly Marie Hodge, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4376 Issued in ID

Practice address

360 E Montvue Dr Ste 100
Ste 100
Meridian, ID 83642-6318

Phone

(208) 855-2900

Fax

(208) 855-2911

NPI assigned

Sep 27, 2012

Last updated

Apr 20, 2017By 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

Other identifiers 2

Other names 1

• Molly Marie Loder Former name

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Current Physical Therapy MeridianGroup PAC ID 8820449689, 2 clinicians

Current Physical Therapy Nampa LLCGroup PAC ID 5597195651, 4 clinicians

Current Physical Therapy CaldwellGroup PAC ID 5698138683, 5 clinicians

Current Physical Therapy LLCGroup PAC ID 6507124823, 8 clinicians

Current Physical Therapy Weiser LLCGroup PAC ID 1951791136, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: molly.loder.1@10048.direct.athenahealth.com

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.

• Current Physical Therapy Caldwell

  • Physical Therapist
  • Caldwell, ID
  • NPI 1598456295
  Medicare reassignment Care Compare group NPD
• Current Physical Therapy LLC

  • Physical Therapist
  • Fruitland, ID
  • NPI 1518478734
  Medicare reassignment Care Compare group NPD
• Current Physical Therapy Meridian

  • Physical Therapy Assistant
  • Meridian, ID
  • NPI 1508647900

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Current Physical Therapy Nampa LLC

  • Physical Therapist
  • Nampa, ID
  • NPI 1699307447
  Medicare reassignment Care Compare group NPD
• Current Physical Therapy Weiser LLC

  • Physical Therapist
  • Weiser, ID
  • NPI 1336814250
  Medicare reassignment Care Compare group NPD
• Current Physical Therapy Kuna LLC

  • Physical Therapist
  • Kuna, ID
  • NPI 1821661927
  Medicare reassignment NPD

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1588915797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E MONTVUE DR STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426318",
            "telephone_number": "541-914-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E MONTVUE DR STE 100",
            "address_2": "STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426318",
            "telephone_number": "208-855-2900",
            "fax_number": "208-855-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "MOLLY",
        "middle_name": "MARIE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "6966",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "4376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500650978",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01153277",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "LODER",
            "middle_name": "MARIE",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shelly L. Hitt, LCSW
• Bailee Ann Hjorth
• Curtis M Hoagland, MPT
• Jennifer Hobbs, MS, CFY-SLP
• Tracey Hocevar
• Hodges Family Medicine, PLLC
• Elizabeth Hodges, PHARMD
• Stephanie Brooke Hodson, MD
• Sarah Hoffman, LMFT
• Jennafer Hofman, LPC

• Physical Therapist in Meridian, ID
• Providers in Meridian, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.