Individual provider Active NPI

Eric Boone Hodges, OTR/L

  • Occupational Therapist
  • Thayne, WY
National Provider Identifier
1962423335
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR-538 Issued in WY
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, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
118717100MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031124000202 WY Practitioner - Occupational Therapist in Private Practice 0941104863 Reassigns benefits to 1 organization
I20130523000092 ID Practitioner - Occupational Therapist in Private Practice 0941104863 Reassigns benefits to 1 organization

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
Therapy Works LLCGroup PAC ID 7618073891, 3 clinicians

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

OrganizationSpecialtyStatusNew patients
High Country Medical Supply Current Accepting new patients
Therapy Works, LLC CurrentSince Jan 1, 2006 Accepting new patients
Therapy Works LLC Occupational Therapist CurrentSince Jan 1, 2006 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.

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.

Verify at the official NPI Registry.