Individual provider Active NPI

Joseph William Wood Jr.

  • Physical Therapist
  • Verona, VA
National Provider Identifier
1053890236
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305212247 Issued in VA
Practice address
1561 Commerce Rd Ste 402
Verona, VA 24482-9701
Phone
(540) 416-0530
NPI assigned
Aug 9, 2018
Last updated
Oct 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 2305212247 VA
Physical Therapist 225100000X 2305212247 VA Primary

Addresses

Primary practice location

1561 Commerce Rd Ste 402
Verona, VA 24482-9701

Mailing address

114 Rolling Oaks Drive
Fishersville, VA 22939
Phone (540) 414-4157

Other practice location 1

30 Ebco Cir
Waynesboro, VA 22980-7374
Phone (540) 943-0078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181012000570 VA Practitioner - Physical Therapist in Private Practice 6204188675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Sept, LLCGroup PAC ID 7911990908, 216 clinicians

Practice addresses (Care Compare)

1561 Commerce Rd
Suite 402
Verona, VA 24482-9701
Phone (540) 416-0530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305212247VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Aug 22, 2024 Accepting new patients
Horizons Therapy Inc CurrentSince Aug 3, 2018 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Aug 22, 2024 Accepting new patients

Locations

2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000

1561 Commerce Rd
#402
Verona, VA 24482
Phone (540) 416-0110

201 Osage Ln
Ste 3
Waynesboro, VA 22980
Phone (540) 943-0078

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1053890236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 ROLLING OAKS DRIVE",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "22939",
            "telephone_number": "540-414-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 COMMERCE RD STE 402",
            "city": "VERONA",
            "state": "VA",
            "postal_code": "244829701",
            "telephone_number": "540-416-0530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Ebco Cir",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "VA",
            "postal_code": "229807374",
            "country_code": "US",
            "telephone_number": "540-943-0078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JOSEPH",
        "middle_name": "WILLIAM",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-09",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305212247",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.