Zachary Allen Woodruff, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2148660 Issued in TX

Practice address

22999 Hwy 59 N
Kingwood, TX 77339-4412

Phone

(281) 348-8000

NPI assigned

Jun 21, 2024

Sex

Male

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": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1053155242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24111 MCKINZIE RIDGE DR",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773656529",
            "telephone_number": "832-726-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22999 HWY 59 N",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394412",
            "telephone_number": "281-348-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "ZACHARY",
        "middle_name": "ALLEN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2148660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mike Alan Wong, MD
• Rachael Wong, MD
• Lance Christopher Wood, AGACNP-BC
• Rebecca Colby Wood, LMT
• Gabrielle Woodard
• Kiersten Woods
• Sylvian Analyn Woodworth
• Arriyanne Wooten Haskin
• Jackie Lee Wooten
• John Edward Wootton, PA-C

• Physical Therapy Assistant in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.