Active NPI
Hodge Physical Therapy
- Physical Therapist
- Ormond Beach, FL
National Provider Identifier
1962070573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- HODGE PHYSICAL THERAPY
- Practice address
- 1450 N US Highway 1 Ste 300
Ormond Beach, FL 32174-6621 - Phone
- (386) 316-2544
- NPI assigned
- Jun 11, 2021
- 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
- Jonathan Hodge, PT
- Title
- Owner
- Phone
- (386) 316-2544
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1450 N US Highway 1 Ste 300
Ormond Beach, FL 32174-6621
Mailing address
1450 N US Highway 1 Ste 300
Ormond Beach, FL 32174-6621
National Provider Directory
National Provider DirectoryLocations
1450 N US Highway 1
Ste 300
Ormond Beach, FL 32174
Phone (386) 316-2544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623369600000",
"number": "1962070573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 N US HIGHWAY 1 STE 300",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321746621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 N US HIGHWAY 1 STE 300",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321746621",
"telephone_number": "386-316-2544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HODGE PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-11",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A",
"authorized_official_last_name": "HODGE",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "386-316-2544",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.