DR. JESSE ROBERT HODGES JR. (NPI# 1821428954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821428954 |
| Entity Type | Individual |
| Full Name | DR. JESSE ROBERT HODGES JR. |
| Credential | D.C. |
| Practice Address |
1780 S Nova Rd Ste 4 South Daytona FL 32119 |
| Mailing Address |
12000 Carolines Cv Apt 205b Ormond Beach FL 32174-1131 |
| Practice Telephone | 3866797731 |
| Mailing Telephone | 5046692815 |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2018-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NS0005X |
Chiropractor Specialization: Sports Physician |
CH12421 | FL | Chiropractic Providers |
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
1687 | FL | Chiropractic Providers |
| Street Address |
1780 S NOVA RD STE 4 |
| City | SOUTH DAYTONA |
| State | FL |
| Zip Code | 32119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509476 | Peaceful Healing Solutions, LLC | Social Worker | 1655 Restarrick Ave, South Daytona, FL 32119 | 2020-05-15 |
| 1124570585 | Kunning Li | Acupuncturist | 2135 S Ridgewood Ave, South Daytona, FL 32119 | 2016-11-01 |
| 1720451040 | Tyler M Mckinniss | Chiropractor | 1614 S Ridgewood Ave Ste 200, South Daytona, FL 32119 | 2015-11-09 |
| 1831347350 | Pamela Marie Lavigna | Counselor | 1635 S. Ridgewood Ave, Suite 225, South Daytona, FL 32119 | 2008-09-09 |
| 1922214279 | Karen Sue Pulaski | Physical Therapist | 401 Venture Ave. Suite C, South Daytona, FL 32119 | 2007-05-15 |
| 1245369180 | Cathryn C Cucchiaro | Marriage & Family Therapist | 2001 S Ridgewood Ave, South Daytona, FL 32119 | 2007-03-05 |
| 1629136775 | Dennis Andrew Kuack | Dentist | 2644 S Ridgewood Ave, South Daytona, FL 32119 | 2006-12-04 |
| 1639246630 | Robert J Amara | Chiropractor | 2750 S Ridgewood Ave #c, South Daytona, FL 32119 | 2006-11-29 |
| 1306910385 | Filutowski Eye Institute Pa | Clinic/Center | 110 Yorktowne Drive, Daytona Beach, FL 32119 | 2006-11-20 |
| 1023189693 | Your Dentist Inc | Dentist | 310 Bellewood Ave, South Daytona, FL 32119 | 2006-11-13 |
| Find all providers in zip 32119 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962946665 | Mark E. Baum, D.c. | Chiropractor | 6701 Sunset Dr Ste 209, South Miami, FL 33143-4529 | 2016-12-14 |
| 1386046928 | Leigh Ann Pauley | Chiropractor | 2816 Windguard Cir Ste 101, Wesley Chapel, FL 33544-7368 | 2014-09-25 |
| 1205237286 | Americas Chiropractic & Wellness Ctr, LLC | Chiropractor | 8994 Taft St, Pembroke Pines, FL 33024-4668 | 2014-09-10 |
| 1356778658 | Chiropractic Usa | Chiropractor | 2150 Nw 21st St, Miami, FL 33142-7318 | 2013-10-01 |
| 1326484718 | Mellman Chiropractic Group Pa | Chiropractor | 4263 Sw 64th Ave, Davie, FL 33314-3461 | 2013-05-13 |
| 1801138375 | Abundance Spa and Rehab, Inc | Chiropractor | 3650 Sw 10th St, 1-b, Deerfield Beach, FL 33442-5997 | 2013-03-22 |
| 1881942332 | James Cyril Spencer | Chiropractor | 401 W Atlantic Ave., Ste 015, Delray Beach, FL 33444 | 2012-08-15 |
| 1386926475 | Midnight Pass Chiropractic, Inc | Chiropractor | 4012 Cortez Rd W, Suite #2206, Bradenton, FL 34210-3109 | 2011-09-14 |
| 1467750695 | Audrey Warnick | Chiropractor | 313 Beechwood Dr, Crawfordville, FL 32327-2539 | 2011-03-11 |
| 1679873939 | Brickell Chiropractic Center Inc. | Chiropractor | 5975 N Federal Hwy, 121, Ft Lauderdale, FL 33308-2690 | 2010-11-02 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH DAYTONA |
| Zip Code | 32119 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.