Individual provider Active NPI

Alexandria Woodbury

  • Physical Medicine & Rehabilitation Physician
  • Oakland, CA
National Provider Identifier
1114573185
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
50167 Issued in CA
Practice address
3645 Grand Ave Ste 203
Oakland, CA 94610-2039
Phone
(510) 883-3534
NPI assigned
Aug 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 50167 CA Primary

Addresses

Primary practice location

3645 Grand Ave Ste 203
Oakland, CA 94610-2039

Mailing address

3645 Grand Ave Ste 203
Oakland, CA 94610-2039
Phone (510) 883-3534

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
50167CAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurorenew Physical Therapy PC CurrentSince Jun 9, 2025 Accepting new patients
Level Up Wellness and Physical Therapy, Inc. Physical Medicine & Rehabilitation CurrentSince Oct 22, 2023 Accepting new patients

Locations

3645 Grand Ave
Ste 203
Oakland, CA 94610
Phone (408) 504-6045

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": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1114573185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 GRAND AVE STE 203",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102039",
            "telephone_number": "510-883-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 GRAND AVE STE 203",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102039",
            "telephone_number": "510-883-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODBURY",
        "first_name": "ALEXANDRIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "50167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.