Mary L Hodges

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1286A Issued in ND

Practice address

1515 2ND Ave W Apt 1013
Williston, ND 58801-4108

Phone

(701) 572-6766

NPI assigned

Jun 1, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1760006183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 42ND ST E APT 1013",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588016844",
            "telephone_number": "540-420-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 2ND AVE W APT 1013",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588014108",
            "telephone_number": "701-572-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "MARY",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1286A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evonne A Hickok, FNP-C
• Jeanine Hicks, R.D.
• Tamara E Hilton, LSW
• Dwayne Hinckley
• Chad Michael Hinman
• Amanda L Hoelscher, BA
• Daniel Morse Hoffman, M.D.
• Leah M Hoffman, LAC
• Christine J Hoglund, DO
• Gillian M Holsinger

• Physical Therapist in Williston, ND
• Providers in Williston, ND by specialty
• Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.