Jill L Hodgson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

014660 Issued in NY

Practice address

165 Main Street
North Creek, NY 12853

Phone

(518) 251-4201

Fax

(518) 251-2367

NPI assigned

Sep 12, 2007

Last updated

Nov 3, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Johnsburg Central School

  • Local Education Agency (LEA)
  • North Creek, NY
  • NPI 1114072907
  NPD (past)

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1710172713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 121",
            "address_2": "218 ANTLER LAKE ROAD",
            "city": "WEVERTOWN",
            "state": "NY",
            "postal_code": "128860121",
            "telephone_number": "518-251-5434",
            "fax_number": "518-251-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MAIN STREET",
            "city": "NORTH CREEK",
            "state": "NY",
            "postal_code": "12853",
            "telephone_number": "518-251-4201",
            "fax_number": "518-251-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGSON",
        "first_name": "JILL",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "014660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS OT LICENSE",
            "identifier": "014660-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Allen Eager, DDS
• Patricia R Elmen, OTR
• David M Gottesman, MEDICAL DOCTOR
• Christoper Michael Grant, OTR
• James F Hindson, MD
• Hudson Headwaters Health Network
• Hudson Headwaters Health Network
• Johnsburg Central School
• Johnsburg Emergency Squad Inc
• Sungji Joun, DPT

• Occupational Therapist in North Creek, NY
• Providers in North Creek, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.