Dorothy Boone Wofford, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6095 Issued in MS

Practice address

1645 W Government St Ste D
Brandon, MS 39042-4602

Phone

(769) 233-5003

Fax

(769) 235-2130

NPI assigned

Jun 19, 2012

Last updated

Aug 28, 2020By the provider in NPPES

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

Enrolled in MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Synergy Myofascial Release and Rehab, IncGroup PAC ID 2567771801, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Synergy Myofascial Release & Rehab, Inc.

  • Physical Therapy Clinic/Center
  • Brandon, MS
  • NPI 1093109639

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Agilitas USA, Inc.

  dba Results Physiotherapy

  • Physical Therapy Clinic/Center
  • Ridgeland, MS
  • NPI 1891140711
  NPD (past)
• Drayer Physical Therapy Institute LLC

  dba Rehab At Work

  • Physical Therapist
  • Columbus, MS
  • NPI 1073859807
  NPD (past)
• Drayer Physical Therapy Mississippi LLC

  • Physical Therapist
  • Crystal Springs, MS
  • NPI 1801333521
  NPD (past)

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1245593805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350",
            "fax_number": "615-373-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 W GOVERNMENT ST STE D",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390424602",
            "telephone_number": "769-233-5003",
            "fax_number": "769-235-2130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Ridge Way",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392323306",
            "country_code": "US",
            "telephone_number": "769-230-0605",
            "fax_number": "769-230-0606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Highland Colony Pkwy Ste 2002",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "MS",
            "postal_code": "391572075",
            "country_code": "US",
            "telephone_number": "769-300-1101",
            "fax_number": "769-300-1102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOFFORD",
        "first_name": "DOROTHY",
        "middle_name": "BOONE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT6095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wren Pediatric Dentistry, PLLC

• Physical Therapist in Brandon, MS
• Providers in Brandon, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.