Active NPI
Hodgkinson PC
- Physical Therapy Clinic/Center
- Victoria, TX
National Provider Identifier
1891970497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 621270000
- Legal business name
- HODGKINSON PC
- Practice address
- 2806 N Navarro St
Suite K
Victoria, TX 77901-3918 - Phone
- (361) 582-4667
- Fax
- (361) 582-4787
- NPI assigned
- Jan 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Mary Creager Hodgkinson, PT
- Title
- President/Physical Therapist
- Phone
- (361) 582-4667
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 621270000 | TX | Primary |
Addresses
Primary practice location
2806 N Navarro St
Suite K
Victoria, TX 77901-3918
Mailing address
2806 N Navarro St
Suite K
Victoria, TX 77901-3918
Phone (361) 582-4667
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4411879 | Other | TX | AETNA |
| 108039202 | Medicaid | TX | |
| 82454T | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2806 N Navarro St
Ste K
Victoria, TX 77901
Phone (361) 582-4667
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Victoria, TX
- NPI 1154451029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199232000000",
"number": "1891970497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2806 N NAVARRO ST",
"address_2": "SUITE K",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779013918",
"telephone_number": "361-582-4667",
"fax_number": "361-582-4787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2806 N NAVARRO ST",
"address_2": "SUITE K",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779013918",
"telephone_number": "361-582-4667",
"fax_number": "361-582-4787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HODGKINSON PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-02",
"last_updated": "2008-01-02",
"status": "A",
"authorized_official_last_name": "HODGKINSON",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "CREAGER",
"authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "361-582-4667",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "TX",
"license": "621270000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4411879",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108039202",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "82454T",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.