Robert Stephen Woodward, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

11093 Issued in FL

Practice address

4828 Scotch Pine CT
Jacksonville, FL 32210-7917

Phone

(904) 317-6064

NPI assigned

Jan 18, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Revive Rehab IncGroup PAC ID 8527197441, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Revive Rehab Inc

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1962734210

  Occupational Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1013193143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4828 SCOTCH PINE CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322107917",
            "telephone_number": "904-317-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4828 SCOTCH PINE CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322107917",
            "telephone_number": "904-317-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "ROBERT",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "11093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coulter Woodward
• Daniela Woodward
• Evelyn Daran-Dawson Woodward, LCSW, CEAP
• George R Woodward, DO
• Keira Woodward
• Samantha Woodward, ARNP
• Timothy Woodward, MD
• William Terry Woodward, DDS.
• Wyman Richard Woodward, DDS
• David Allen Woodworth, R.PH.

• Occupational Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.