Individual provider Active NPI

Victoria Wood, PT, DPT

  • Physical Therapist
  • Carlsbad, CA
National Provider Identifier
1003694662
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
304884 Issued in CA
Practice address
2719 Loker Ave W Ste a
Carlsbad, CA 92010-6679
Phone
(760) 918-9200
Fax
(760) 918-9203
NPI assigned
Sep 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 304884 CA Primary

Addresses

Primary practice location

2719 Loker Ave W Ste a
Carlsbad, CA 92010-6679

Mailing address

19382 Jasper Hill Rd
Trabuco Canyon, CA 92679-1184
Phone (949) 444-4993

Other identifiers 1

IdentifierTypeStateIssuer
304884OtherCAPT BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231023000761 CA Practitioner - Physical Therapist in Private Practice 6406202878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Function for Life Physical Therapy IncGroup PAC ID 3678758489, 36 clinicians

Practice addresses (Care Compare)

2719 Loker Ave W
Suite a
Carlsbad, CA 92010-6679
Phone (760) 918-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
304884CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Function for Life Physical Therapy, Inc. Physical Therapist CurrentSince Sep 14, 2023 Accepting new patients

Locations

3257 Camino de los Coches
Ste 301
Carlsbad, CA 92009
Phone (760) 652-5236

2719 Loker Ave W
Ste A
Carlsbad, CA 92010
Phone (760) 918-9200

1084 N El Camino Real
#B351
Encinitas, CA 92024

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1003694662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19382 JASPER HILL RD",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926791184",
            "telephone_number": "949-444-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 LOKER AVE W STE A",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920106679",
            "telephone_number": "760-918-9200",
            "fax_number": "760-918-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT BOARD",
            "identifier": "304884",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.