Ethan Hodges, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

4240 Balmoral Dr SW Ste 100
Huntsville, AL 35801-5633

Phone

(256) 883-1970

Fax

(256) 883-8061

NPI assigned

May 17, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Apex Physical Therapy, LLCGroup PAC ID 9032650650, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Apex Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Huntsville, AL
  • NPI 1053184614

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Sixfourthree, LLC

  • Exclusive Provider Organization
  • Huntsville, AL
  • NPI 1396781209

  Single Specialty

  Medicare reassignment NPD
• Sixfourthree, LLC

  • Exclusive Provider Organization
  • Madison, AL
  • NPI 1649828328
  NPD

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1972169639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 BALMORAL DR SW STE 100",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015633",
            "telephone_number": "256-883-1970",
            "fax_number": "256-883-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 BALMORAL DR SW STE 100",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015633",
            "telephone_number": "256-883-1970",
            "fax_number": "256-883-8061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 Hughes Rd Ste P",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357583401",
            "country_code": "US",
            "telephone_number": "256-774-2978",
            "fax_number": "256-774-2979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGES",
        "first_name": "ETHAN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-17",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khanh Hoang
• Bradley A Hobbs, M.D.
• Jordan Hobley, DPT
• Erica Hochberger, LICSW-S
• Katherine Hodge, PA-C
• Erica Lynn Hodgin, CRNP
• Shelby Hoff, CRNP
• Deborah L Hogan, MD
• John Rudolph Hogan, MD
• Kelby Elaine Hogan

• Physical Therapist in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; 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.