Woosley Medical Rehab and Wellness

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

APN18975 Issued in TN

Legal business name

WOOSLEY MEDICAL REHAB AND WELLNESS

Practice address

913 Conference Dr
Suite 103
Goodlettsville, TN 37072-1991

Phone

(615) 859-6644

NPI assigned

Dec 6, 2016

Organization subpart

No

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

Authorized official

Name

Charlton Alan Woosley Jr., APN

Title

President

Phone

(615) 859-6644

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1033653373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 CONFERENCE DR",
            "address_2": "SUITE 103",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721991",
            "telephone_number": "615-859-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 CONFERENCE DR",
            "address_2": "SUITE 103",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721991",
            "telephone_number": "615-859-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOSLEY MEDICAL REHAB AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "WOOSLEY",
        "authorized_official_first_name": "CHARLTON",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-859-6644",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TN",
            "license": "APN18975",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "APN18975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q010073",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah G Williams
• Trelon Eugene Williams
• Phillip A Wines, M.D.
• Deyona Winton, D.C.
• Woosley Chiropractic Rehabilitation
• Charlton A Woosley, D.C.
• Michelle Wray, PTA, ATC, LAT
• Ronald Stevens Wright Jr., DDS, MS
• Daniel J Wunder, M.D.
• David L Wyatt, DMD

• Primary Care Clinic/Center in Goodlettsville, TN
• Providers in Goodlettsville, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.