Healthcare Provider Details

I. General information

NPI: 1528975596
Provider Name (Legal Business Name): ALEX HODGE DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 COLLEGE DR STE C
HENDERSON NV
89015-1546
US

IV. Provider business mailing address

7618 CHANTILLY ISLAND CT
LAS VEGAS NV
89123-1490
US

V. Phone/Fax

Practice location:
  • Phone: 725-254-1251
  • Fax:
Mailing address:
  • Phone: 702-279-4359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number7105
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: