Jacqueline Ann Woodward

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TEI000361 Issued in PA

Practice address

200 Berwick Rd
Orangeville, PA 17859-9064

Phone

(570) 683-8511

NPI assigned

Sep 13, 2010

Last updated

Sep 13, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1023325974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 BOWMANS MILL RD",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178157241",
            "telephone_number": "570-683-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BERWICK RD",
            "city": "ORANGEVILLE",
            "state": "PA",
            "postal_code": "178599064",
            "telephone_number": "570-683-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "JACQUELINE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI000361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reliant Orangeville Holdings LLC (Orangeville Health and Rehabilitation Center)
• Megan Scerbo
• Katie Tifft
• Darcy Dee Watson, COTA/L
• John Joseph Wojnarski, MSPT
• Laura Beth Ziegler

• Physical Therapy Assistant in Orangeville, PA
• Providers in Orangeville, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.