Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. John Nicholas Hodge III, PTA

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1811414642

Mr. John Nicholas Hodge III, PTA is a Physical Medicine & Rehabilitation Physician in Shreveport, Louisiana. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2017
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

121 Carroll St
Shreveport, LA 71105
Phone: (318) 560-4326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 2106291 (TX)

Record details

NPI number1811414642
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedAugust 23, 2017
Last updated in NPPESAugust 23, 2017

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