Jennifer Wood, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305005646 Issued in VA

Practice address

4325 Brambleton Ave Ste a
Roanoke, VA 24018-3404

Phone

(540) 772-8022

NPI assigned

Mar 15, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lucas Physical Therapy Inc

  dba Lucas Therapies PC

  • Physical Therapist
  • Roanoke, VA
  • NPI 1285774745
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1164123329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 MIDDLE RIDGE DR",
            "city": "CALLAWAY",
            "state": "VA",
            "postal_code": "240673119",
            "telephone_number": "804-916-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 BRAMBLETON AVE STE A",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183404",
            "telephone_number": "540-772-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305005646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley W Woltz, FNP-C
• Erik D Womeldorf, M.D.
• Admasu Wondmagegn, M.D.
• Dan Wood III
• Hannah Wood, RBT
• John Robert Wood, M.D.
• Laura Michelle Wood, OTR
• Melissa S Wood, LPTA
• Stephanie B Wood, OTRL
• Steven Matthew Woodard, DMD

• Physical Therapist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.