Susan Jane Hodges, PT, MLDT
Physical Therapist in Jackson, TN. Individual provider (NPI-1).
Details
- NPI
- 1679112031
- Entity type
- Individual (NPI-1)
- Name
- Susan Jane Hodges
- Credential
- PT, MLDT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 3, 2020
- Certification date
- Feb 17, 2025
- Last updated
- Feb 17, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT0000003326 | TN | Yes |
| 225100000X | Physical Therapist | 39641 | WI |
Practice location
176 W University Pkwy Ste EJackson, TN 38305-1618
Phone 731-300-4950 · Fax 731-300-4951
Mailing address
176 W University Pkwy Ste EJackson, TN 38305-1618
Phone 731-300-4950 · Fax 731-300-4951
Other practice locations
Three Way, TN 38343-8503
Phone 731-784-7773 · Fax 731-300-4951
Jackson, TN 38301
Phone 731-300-4952 · Fax 731-300-4951
Weston, WI 54476-5220
Phone 715-393-1220
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 113 Physical Therapist providers in Jackson · All 3,212 providers in Jackson
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