Active NPI
Kobe Woodworth
- Rehabilitation Practitioner
- San Jose, CA
National Provider Identifier
1184460636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 96 S 14TH St
San Jose, CA 95112-2015 - Phone
- (408) 998-3293
- Fax
- (408) 642-6052
- NPI assigned
- Jul 3, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | CA | Primary |
Addresses
Primary practice location
96 S 14TH St
San Jose, CA 95112-2015
Mailing address
1922 The Alameda Ste 316
San Jose, CA 95126-1461
Phone (408) 261-7777
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Lanterns PLLC | Past | Accepting new patients | |
| Behavior Nation LLC | 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.
-
- Assistant Behavior Analyst
- Fremont, CA
- NPI 1659889491
-
- Behavior Analyst
- Austin, TX
- NPI 1508713587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772409600000",
"number": "1184460636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1922 THE ALAMEDA STE 316",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951261461",
"telephone_number": "408-261-7777",
"fax_number": "408-642-6052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 S 14TH ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951122015",
"telephone_number": "408-998-3293",
"fax_number": "408-642-6052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODWORTH",
"first_name": "KOBE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-03",
"last_updated": "2026-03-02",
"certification_date": "2026-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.