Active NPI
Benjamin Von Hodge, BACHELORS OF PHYSICA
- Physical Therapist
- Columbus, OH
National Provider Identifier
1720132186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010431
- Practice address
- 698 Morrison Road
Columbus, OH 43213 - Phone
- (614) 868-1115
- Fax
- (614) 863-9338
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- 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 | PT010431 | OH | Primary |
Addresses
Primary practice location
698 Morrison Road
Columbus, OH 43213
Mailing address
5688 Burntwood Way
Westerville, OH 43081-6603
Phone (614) 620-3009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2698371 | Medicaid | OH |
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 |
|---|---|---|---|
| PT010431 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720132186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5688 BURNTWOOD WAY",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430816603",
"telephone_number": "614-620-3009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "698 MORRISON ROAD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43213",
"telephone_number": "614-868-1115",
"fax_number": "614-863-9338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGE",
"first_name": "BENJAMIN",
"middle_name": "VON",
"name_prefix": "Mr.",
"credential": "BACHELORS OF PHYSICA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT010431",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2698371",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.