Individual provider Active NPI

Sean James Hodges, DPT

  • Physical Therapist
  • Pascagoula, MS
National Provider Identifier
1780214098
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT6971 Issued in MS
Practice address
3615 Hospital St Ste B
Pascagoula, MS 39581-4112
Phone
(228) 215-2260
Fax
(228) 215-2261
NPI assigned
Jan 26, 2020
Last updated
Jan 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT6971 MS Primary

Addresses

Primary practice location

3615 Hospital St Ste B
Pascagoula, MS 39581-4112

Mailing address

6300 E Lake Blvd Ste 301
Vancleave, MS 39565-6771
Phone (228) 230-2663

Other practice location 1

6300 E Lake Blvd Ste 101
Vancleave, MS 39565-6771
Phone (228) 215-2240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201023002649 MS Practitioner - Physical Therapist in Private Practice 3971923350 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jones Physical Therapy LLCGroup PAC ID 9234659384, 2 clinicians
Bienville Therapy, LLCGroup PAC ID 1254878325, 24 clinicians

Practice addresses (Care Compare)

12305 Hwy 57
Suite B
Vancleave, MS 39565-9501
Phone (228) 238-0206

3615 Hospital St
Suite B
Pascagoula, MS 39581-4112
Phone (228) 215-2260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT6971MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport CurrentSince Apr 26, 2021 Accepting new patients
Bienville Therapy, LLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Physical Therapy Center of Ocean Springs, LLC Physical Therapist CurrentSince Oct 15, 2020 Accepting new patients
Bienville Therapy, LLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Jones Physical Therapy LLC Physical Therapist CurrentSince Nov 11, 2025 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Apr 26, 2021 Accepting new patients

Locations

251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4855

6059 U S Highway 98
Ste 50
Hattiesburg, MS 39402
Phone (769) 235-2884

900 Holcomb Blvd
#A
Ocean Springs, MS 39564
Phone (228) 872-6821

3615 Hospital St
#B
Pascagoula, MS 39581
Phone (228) 215-2260

12305 Highway 57
#B
Vancleave, MS 39565
Phone (228) 238-0206

6300 E Lake Blvd
Ste 101
Vancleave, MS 39565
Phone (228) 215-2240

6300 E Lake Blvd
Ste 301
Vancleave, MS 39565

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1579996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1780214098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 E LAKE BLVD STE 301",
            "city": "VANCLEAVE",
            "state": "MS",
            "postal_code": "395656771",
            "telephone_number": "228-230-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 HOSPITAL ST STE B",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395814112",
            "telephone_number": "228-215-2260",
            "fax_number": "228-215-2261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6300 E Lake Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Vancleave",
            "state": "MS",
            "postal_code": "395656771",
            "country_code": "US",
            "telephone_number": "228-215-2240",
            "fax_number": "228-215-2241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGES",
        "first_name": "SEAN",
        "middle_name": "JAMES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-26",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT6971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.