Active NPI
Eric Boone Hodges, OTR/L
- Occupational Therapist
- Thayne, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR-538
- Practice address
- 487A N Main
Thayne, WY 83127 - Phone
- (307) 883-8877
- Fax
- (307) 883-8876
- NPI assigned
- Jul 21, 2006
- Last updated
- Oct 26, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTR-538 | WY | Primary |
Addresses
Primary practice location
487A N Main
Thayne, WY 83127
Mailing address
PO Box 860
487A N Main
Thayne, WY 83127-0860
Phone (307) 883-8877
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118717100 | Medicaid | WY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY, ID
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
152 S 4TH St
Montpelier, ID 83254-1538
Phone (307) 883-8877
487 A N Main St
Thayne, WY 83127-9768
Phone (307) 883-8877
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Country Medical Supply | Current | Accepting new patients | |
| Therapy Works, LLC | Current | Accepting new patients | |
| Therapy Works LLC | Occupational Therapist | Current | Accepting new patients |
| Therapy Works LLC | Past | Accepting new patients |
Locations
152 S 4th St
Montpelier, ID 83254
Phone (208) 847-2108
110 Hospital Ln
Afton, WY 83110
Phone (208) 227-1137
47 Doc Perkes
Afton, WY 83110
Phone (307) 734-5864
Organizations & group practices 4
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.
-
- Durable Medical Equipment & Medical Supplies
- Afton, WY
- NPI 1255843462
-
- Durable Medical Equipment & Medical Supplies
- Thayne, WY
- NPI 1568766400
-
- Durable Medical Equipment & Medical Supplies
- Afton, WY
- NPI 1457842486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508976000000",
"number": "1962423335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 860",
"address_2": "487A N MAIN",
"city": "THAYNE",
"state": "WY",
"postal_code": "831270860",
"telephone_number": "307-883-8877",
"fax_number": "307-883-8876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "487A N MAIN",
"city": "THAYNE",
"state": "WY",
"postal_code": "83127",
"telephone_number": "307-883-8877",
"fax_number": "307-883-8876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGES",
"first_name": "ERIC",
"middle_name": "BOONE",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2017-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WY",
"license": "OTR-538",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118717100",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thayne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.