Active NPI
Caroline Benavides Woodard, P.T.
- Physical Therapist
- Glastonbury, CT
National Provider Identifier
1154600211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004219
- Practice address
- 72 Salmon Brook Dr
Glastonbury, CT 06033-2131 - Phone
- (860) 633-5244
- NPI assigned
- Aug 8, 2011
- 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 Therapist | 225100000X | 004219 | CT | Primary |
Addresses
Primary practice location
72 Salmon Brook Dr
Glastonbury, CT 06033-2131
Mailing address
525 Chestnut Hill Rd
Glastonbury, CT 06033-4105
Phone (860) 659-1496
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 |
|---|---|---|---|
| 004219 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Rehabilitation Network LLC | Physical Therapist | Past | Accepting new patients |
| Comprehensive Physical Therpy PC | Physical Therapist | Past | Accepting new patients |
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.
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- Manchester, CT
- NPI 1891732160
-
- Physical Therapist
- Freeport, ME
- NPI 1235940388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312761600000",
"number": "1154600211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 CHESTNUT HILL RD",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060334105",
"telephone_number": "860-659-1496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 SALMON BROOK DR",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060332131",
"telephone_number": "860-633-5244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODARD",
"first_name": "CAROLINE",
"middle_name": "BENAVIDES",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-08",
"last_updated": "2011-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "004219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.