Active NPI
Eliza Woodward, PT, DPT
- Physical Therapist
- Virginia Beach, VA
National Provider Identifier
1174979686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305210050
- Practice address
- 1628 Laskin Rd Ste 706
Virginia Beach, VA 23451-7504 - Phone
- (757) 481-0052
- Fax
- (757) 481-1099
- NPI assigned
- May 13, 2016
- 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 | 2305210050 | VA | Primary |
Addresses
Primary practice location
1628 Laskin Rd Ste 706
Virginia Beach, VA 23451-7504
Mailing address
PO Box 412307
Boston, MA 02241-2307
Phone (914) 294-4050
Other practice location 1
20 E Piccadilly St Ste 11
Winchester, VA 22601
Phone (877) 407-3422
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1174979686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 412307",
"city": "BOSTON",
"state": "MA",
"postal_code": "022412307",
"telephone_number": "914-294-4050",
"fax_number": "631-760-8306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1628 LASKIN RD STE 706",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234517504",
"telephone_number": "757-481-0052",
"fax_number": "757-481-1099"
}
],
"practiceLocations": [
{
"address_1": "20 E Piccadilly St Ste 11",
"address_purpose": "LOCATION",
"city": "Winchester",
"state": "VA",
"postal_code": "22601",
"country_code": "US",
"telephone_number": "877-407-3422",
"fax_number": "877-407-4329",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOODWARD",
"first_name": "ELIZA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-13",
"last_updated": "2021-05-21",
"certification_date": "2021-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305210050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.