| Mr Jeffrey Paul Hodges, PT, ATC | |
|
1883 Highway 43 S, Suite C, Canton, MS 39046-8405 | |
| (601) 859-2906 | |
| Not Available |
| Full Name | Mr Jeffrey Paul Hodges |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1883 Highway 43 S, Canton, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134150816 | NPI | - | NPPES |
| 01009819 | Medicaid | MS | |
| 512I650001 | Other | MS | MEDICARE PTAN |
| 302I658838 | Other | MS | MEDICARE PTAN ID# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT2160 (Mississippi) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | AT0161 (Mississippi) | Secondary |
| Provider Name | Agilitas Usa, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20130219000317 |
| Provider Name | Dpti Elite Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1386010718 PECOS PAC ID: 0547579401 Enrollment ID: O20151016001144 |
| Provider Name | Drayer Physical Therapy Mississippi Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1952732448 PECOS PAC ID: 3274834858 Enrollment ID: O20160314001040 |
| Provider Name | Benchmark Physical Therapy Of Mississippi Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1811547680 PECOS PAC ID: 0840626446 Enrollment ID: O20200130000021 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeffrey Paul Hodges, PT, ATC 1883 Highway 43 S, Suite C, Canton, MS 39046-8405 Ph: (601) 859-2906 | Mr Jeffrey Paul Hodges, PT, ATC 1883 Highway 43 S, Suite C, Canton, MS 39046-8405 Ph: (601) 859-2906 |
Mr. Trent Lydell Butler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1883 Highway 43 S, Suite C, Canton, MS 39046 Phone: 601-859-2906 Fax: 601-859-0483 | |
Joel Maier, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 300 Nissan Dr, Canton, MS 39046 Phone: 601-855-6010 | |
James Rankin, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 908 E Peace St, Canton, MS 39046 Phone: 601-636-6019 Fax: 601-661-8457 | |
Drayer Physical Therapy Jackson Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 276 Nissan Pkwy, Building F, Ste 400, Canton, MS 39046 Phone: 601-859-3776 Fax: 601-859-3778 | |
Physical Therapy Works Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3091 S Liberty St, Canton, MS 39046 Phone: 601-859-3131 Fax: 601-859-1101 | |
Drayer Physical Therapy Institute Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 276 Nissan Pkwy, Building F, Ste 400, Canton, MS 39046 Phone: 601-859-3776 Fax: 601-859-3778 |