Jodi Hodkin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

14-01476 Issued in KS

Practice address

444 Four States Dr
Suite 1
Galena, KS 66739-4324

Phone

(620) 783-4441

Fax

(620) 783-4444

NPI assigned

Dec 15, 2009

Last updated

Dec 30, 2011By 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.

• Orthopaedic Specialists of the Four States LLC

  • Orthopaedic Surgery Physician
  • Galena, KS
  • NPI 1316019193
  NPD (past)
• Orthopaedic Specialists of the Four States LLC

  dba Ortho4States DME

  • Durable Medical Equipment & Medical Supplies
  • Pittsburg, KS
  • NPI 1467799106
  NPD (past)

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1750610077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2546",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648032546",
            "telephone_number": "620-783-4441",
            "fax_number": "620-783-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 FOUR STATES DR",
            "address_2": "SUITE 1",
            "city": "GALENA",
            "state": "KS",
            "postal_code": "667394324",
            "telephone_number": "620-783-4441",
            "fax_number": "620-783-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODKIN",
        "first_name": "JODI",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-15",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2000145933",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-01476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Michael Haase
• Eugerie Altagrace Hanley, MD
• Michael L Hearndon, DO
• Jason Ferrand Heflin
• Jaci Lyn Hill, OTR/L
• Lloyd R Holloway, PA
• Sharon Pauline Houser
• Larae I Huycke, PMHNP-ARNP
• Incontinence and Osteoporosis Center LLC
• Crystal L Ingle

• Physical Therapy Assistant in Galena, KS
• Providers in Galena, KS by specialty
• Physical Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.