Active NPI
Kathleen Marie Hodge
- Physical Therapy Assistant
- Salem, NH
National Provider Identifier
1790025799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A2239
- Practice address
- 70 Butler Street
Salem, NH 03079-3974 - Phone
- (603) 893-2900
- Fax
- (603) 893-1628
- NPI assigned
- Feb 27, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | A2239 | NC | Primary |
Addresses
Primary practice location
70 Butler Street
Salem, NH 03079-3974
Mailing address
70 Butler Street
Salem, NH 03079-3974
Phone (603) 893-2900
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A2239 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464825600000",
"number": "1790025799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 BUTLER STREET",
"city": "SALEM",
"state": "NH",
"postal_code": "030793974",
"telephone_number": "603-893-2900",
"fax_number": "603-893-1628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 BUTLER STREET",
"city": "SALEM",
"state": "NH",
"postal_code": "030793974",
"telephone_number": "603-893-2900",
"fax_number": "603-893-1628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGE",
"first_name": "KATHLEEN",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-27",
"last_updated": "2016-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "A2239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.