Lisa Woodard, DPT
Individual provider Active NPI Physical Therapist · Ducktown, TN
NPI 1134820269 · NPPES record last updated Mar 15, 2023
Key facts
- NPI
- 1134820269
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT000011286 (TN)
- Practice address
- 166 Industrial Drive
Ducktown, TN 37326 - Phone
- (423) 496-3245
- NPI assigned
- Mar 15, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT000011286 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocoee Copper Basin Health and Rehabilitation Center LLC | Current |
Accepting new patients | |
| Vohra Post Acute Care Physicians of the East, PA | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT000011286 | TN | Yes |
Addresses
Primary practice location
166 Industrial Drive
Ducktown, TN 37326
Mailing address
8620 Horseshoe Bend LN
Ooltewah, TN 37363-5605
Other providers in Ducktown, TN
- Caleb Logan
- Ocoee Copper Basin Health and Rehabilitation Center LLC
- Jodie Reams
- Katherine Scott
- Andrew Sims
All providers in Ducktown, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.