NPIMap

Individual provider Active NPI

Rachel Woodward, PT

  • Physical Therapist
  • Tulsa, OK
National Provider Identifier
1053339911
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3791 Issued in OK
Practice address
4157 S Harvard Ave Ste 101
Tulsa, OK 74135-2606
Phone
(918) 712-7868
Fax
(918) 392-7878
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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 3791 OK Primary

Addresses

Primary practice location

4157 S Harvard Ave Ste 101
Tulsa, OK 74135-2606

Mailing address

4157 S Harvard Ave Ste 101
Tulsa, OK 74135-2606
Phone (918) 712-7868

Other identifiers 1

IdentifierTypeStateIssuer
200062000AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3791OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Pediatric Physical Therapy Current Accepting new patients
Therapytime Pediatrics Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1053339911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4157 S HARVARD AVE STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352606",
            "telephone_number": "918-712-7868",
            "fax_number": "918-392-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4157 S HARVARD AVE STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352606",
            "telephone_number": "918-712-7868",
            "fax_number": "918-392-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "RACHEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "3791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200062000A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.