Individual provider Active NPI

Price H Hodges, R.P.T.

  • Physical Therapist
  • Greenwood, MS
National Provider Identifier
1831186980
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2723 Issued in MS
Practice address
702 Highway 82 W
Greenwood, MS 38930-5069
Phone
(662) 455-5010
Fax
(662) 455-5468
NPI assigned
Oct 4, 2005
Last updated
Aug 10, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

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 PT2723 MS Primary

Addresses

Primary practice location

702 Highway 82 W
Greenwood, MS 38930-5069

Mailing address

702 Highway 82 W
Greenwood, MS 38930-5069
Phone (662) 455-5010

Other identifiers 1

IdentifierTypeStateIssuer
06754525MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111227000792 MS Practitioner - Physical Therapist in Private Practice 4688664519 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Professional Physical Therapy, Inc.Group PAC ID 2466442389, 2 clinicians

Practice addresses (Care Compare)

401 N Hayden St
Belzoni, MS 39038-3639
Phone (662) 247-4446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Rehabilitation, LLC Physical Therapist CurrentSince Nov 15, 2011 Accepting new patients
Professional Physical Therapy, Inc. Physical Therapist CurrentSince Nov 15, 2011 Accepting new patients

Locations

401 N Hayden St
Belzoni, MS 39038
Phone (662) 247-4446

702 Highway 82 W
Ste B
Greenwood, MS 38930
Phone (662) 455-5010

Organizations & group practices 2

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186704000000",
    "number": "1831186980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 HIGHWAY 82 W",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389305069",
            "telephone_number": "662-455-5010",
            "fax_number": "662-455-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 HIGHWAY 82 W",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389305069",
            "telephone_number": "662-455-5010",
            "fax_number": "662-455-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "PRICE",
        "middle_name": "H",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2007-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT2723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06754525",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.