Michael Wooldridge, OT-A

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OT-A792 Issued in AR

Practice address

3434 One PL
Jonesboro, AR 72404-9335

Phone

(870) 283-4225

NPI assigned

Aug 25, 2013

Last updated

Aug 25, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1377388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377388800000",
    "number": "1215361415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 GABRIEL WAY",
            "city": "SULPHUR ROCK",
            "state": "AR",
            "postal_code": "725799012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 ONE PL",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724049335",
            "telephone_number": "870-283-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLDRIDGE",
        "first_name": "MICHAEL",
        "credential": "OT-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-25",
        "last_updated": "2013-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha Woodson
• Gary W Woodward, MD
• Jared Craig Woodward
• Carly Michelle Woodyard, OTD, OTR/L
• Jeremy Michael Wooldridge, LCSW
• Taylor Ann Wooldridge, PTA
• Trey Wooldridge
• Calvin J Wooridge
• Georgia L. Wooten, APRN
• Samuel Parker Wooten

• Occupational Therapy Assistant in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Occupational Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2013; 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.