Active NPI
Benita Jo Doughty Hodges, PT
- Physical Therapist
- Bowling Green, KY
National Provider Identifier
1962477802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 002893
- Practice address
- 303 Lovers LN
Bowling Green, KY 42103-7935 - Phone
- (270) 781-5150
- Fax
- (270) 781-2392
- NPI assigned
- Feb 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1715 | OK | |
| Physical Therapist | 225100000X | 002893 | KY | Primary |
| Physical Therapist | 225100000X | 0000002608 | TN |
Addresses
Primary practice location
303 Lovers LN
Bowling Green, KY 42103-7935
Mailing address
303 Lovers LN
Bowling Green, KY 42103-7935
Phone (270) 781-5150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002893 | KY | MD | Physical Therapist |
| 0000002608 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warren County Public Schools | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Bowling Green, KY
- NPI 1346398070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203033600000",
"number": "1962477802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 LOVERS LN",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421037935",
"telephone_number": "270-781-5150",
"fax_number": "270-781-2392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 LOVERS LN",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421037935",
"telephone_number": "270-781-5150",
"fax_number": "270-781-2392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGES",
"first_name": "BENITA",
"middle_name": "JO DOUGHTY",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2008-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "1715",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "002893",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "0000002608",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.