Individual provider Active NPI

Dennis Durwood Wood, M.P.T.

  • Physical Therapist
  • Greensboro, GA
National Provider Identifier
1124095005
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6989 Issued in GA
Practice address
1001 Village Park Dr Ste 105
Greensboro, GA 30642-5101
Phone
(706) 454-2000
Fax
(706) 454-0806
NPI assigned
Mar 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6989 GA Primary

Addresses

Primary practice location

1001 Village Park Dr Ste 105
Greensboro, GA 30642-5101

Mailing address

1001 Village Park Dr Ste 105
Greensboro, GA 30642-5101
Phone (706) 454-2000

Other identifiers 1

IdentifierTypeStateIssuer
6989OtherGAPHYSICAL THERAPY LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111229000492 GA Practitioner - Physical Therapist in Private Practice 3678521416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evans Rehabilitation Services, LLCGroup PAC ID 2769467034, 20 clinicians

Practice addresses (Care Compare)

1001 Village Park Dr
Suite 105
Greensboro, GA 30642-5101
Phone (706) 868-1707

415 Town Park Blvd
Evans, GA 30809-3487
Phone (706) 868-1707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Evans Rehabilitation Services, LLC Physical Therapist CurrentSince Mar 6, 2023 Accepting new patients

Locations

415 Town Park Blvd
Evans, GA 30809
Phone (706) 690-4372

1001 Village Park Dr
Ste 105
Greensboro, GA 30642
Phone (706) 454-2000

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, 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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1124095005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 VILLAGE PARK DR STE 105",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306425101",
            "telephone_number": "706-454-2000",
            "fax_number": "706-454-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 VILLAGE PARK DR STE 105",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306425101",
            "telephone_number": "706-454-2000",
            "fax_number": "706-454-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "DENNIS",
        "middle_name": "DURWOOD",
        "name_prefix": "Mr.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "6989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "6989",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.