Active NPI
Karen Jane Woodbeck, MS, PT, OCS, ATC
- Orthopedic Physical Therapist
- Campbell, CA
National Provider Identifier
1073500674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 15005
- Practice address
- 1282 White Oaks Rd
Campbell, CA 95008-6723 - Phone
- (408) 550-6076
- Fax
- (408) 608-6076
- NPI assigned
- Sep 29, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 15005 | CA | |
| Orthopedic Physical Therapist | 2251X0800X | 15005 | CA | Primary |
| Athletic Trainer | 2255A2300X |
Addresses
Primary practice location
1282 White Oaks Rd
Campbell, CA 95008-6723
Mailing address
1282 White Oaks Rd
Campbell, CA 95008-6723
Phone (408) 550-6076
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Body Dynamic Physical Therapy & Pilates Wellness | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Campbell, CA
- NPI 1104152925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251936000000",
"number": "1073500674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1282 WHITE OAKS RD",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950086723",
"telephone_number": "408-550-6076",
"fax_number": "408-608-1970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1282 WHITE OAKS RD",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950086723",
"telephone_number": "408-550-6076",
"fax_number": "408-608-6076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODBECK",
"first_name": "KAREN",
"middle_name": "JANE",
"credential": "MS, PT, OCS, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-29",
"last_updated": "2009-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "CA",
"license": "15005",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "15005",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.