Active NPI
Gayla E Wood, P.T.A
- Physical Therapy Assistant
- Macon, MO
National Provider Identifier
1073746145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2001009510
- Practice address
- 2005 N Missouri St
Suite D
Macon, MO 63552-2164 - Phone
- (660) 385-6540
- Fax
- (660) 385-6542
- NPI assigned
- Aug 24, 2009
- Last updated
- Aug 24, 2009
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2001009510 | MO | Primary |
Addresses
Primary practice location
2005 N Missouri St
Suite D
Macon, MO 63552-2164
Mailing address
PO Box 381
Macon, MO 63552-0381
Phone (660) 385-6540
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 |
|---|---|---|---|
| 2001009510 | MO | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid Missouri Physical Therapy | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Macon, MO
- NPI 1891908612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251072000000",
"number": "1073746145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 381",
"city": "MACON",
"state": "MO",
"postal_code": "635520381",
"telephone_number": "660-385-6540",
"fax_number": "660-385-6542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 N MISSOURI ST",
"address_2": "SUITE D",
"city": "MACON",
"state": "MO",
"postal_code": "635522164",
"telephone_number": "660-385-6540",
"fax_number": "660-385-6542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "GAYLA",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "P.T.A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-24",
"last_updated": "2009-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MO",
"license": "2001009510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.