Tina Chung Hodges, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

O-T0958 Issued in AR

Practice address

2200 Bruce St Ste 101
Conway, AR 72034-6108

Phone

(501) 470-7457

Fax

(501) 504-2105

NPI assigned

Sep 3, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Central ArkansasGroup PAC ID 0042612244, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University of Central Arkansas

  • Family Medicine Physician
  • Conway, AR
  • NPI 1912543240
  Medicare reassignment Care Compare group NPD
• University of Central Arkansas

  • Speech-Language Pathologist
  • Conway, AR
  • NPI 1184387540

  Occupational Therapist

  NPD
• University of Central Arkansas

  • Physical Therapist
  • Conway, AR
  • NPI 1790439602

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1942433149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 BRUCE ST STE 101",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346108",
            "telephone_number": "501-470-7457",
            "fax_number": "501-504-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BRUCE ST STE 101",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346108",
            "telephone_number": "501-470-7457",
            "fax_number": "501-504-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "TINA",
        "middle_name": "CHUNG",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-03",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "O-T0958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180268721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• HLNC, Inc
• Clint Hobbs, RECOVERY ASSISTANT
• Laura Smith Hockaday, ATC
• Daniel R Hodge, BT
• Lee W Hodge, DC
• Anna Elizabeth Hoelzeman, PT, DPT
• Mallory Denae Hoelzeman, APRN
• Georgianne Hoffman
• Julie Alexis Laraine Hoffmann
• Aja Hogan, RECOVERY ASSISTANT

• Occupational Therapist in Conway, AR
• Providers in Conway, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.