Active NPI
Lacy Ann Woods, OTR/L
- Occupational Therapist
- Brookings, OR
National Provider Identifier
1073070678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 414483
- Practice address
- 500 5TH St
Brookings, OR 97415-9702 - Phone
- (541) 412-2000
- NPI assigned
- Mar 1, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 414483 | OR | Primary |
Addresses
Primary practice location
500 5TH St
Brookings, OR 97415-9702
Mailing address
900 Highland Ave
Gettysburg, PA 17325-2909
Phone (717) 676-6674
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 414483 | OR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551398400000",
"number": "1073070678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 HIGHLAND AVE",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "173252909",
"telephone_number": "717-676-6674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 5TH ST",
"city": "BROOKINGS",
"state": "OR",
"postal_code": "974159702",
"telephone_number": "541-412-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "LACY",
"middle_name": "ANN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-01",
"last_updated": "2019-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "414483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookings, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.