Daniel Wood PT, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT809R Issued in LA

Legal business name

DANIEL WOOD PT, INC.

Practice address

3867 Bayou Acres Dr
Bastrop, LA 71220-9232

Phone

(318) 283-2080

Fax

(318) 283-0606

NPI assigned

Apr 27, 2006

Last updated

Dec 21, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel W Wood, PHYSICAL THERAPISTNPI 1609833847

Title

Owner

Phone

(318) 283-2080

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Tax ID family

Dan Wood Physical Therapy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Dan Wood Physical Therapy

  • Specialist
  • Monroe, LA
  • NPI 1346563111
  NPD tax ID
• Daniel Wood PT Inc

  • Specialist
  • Monroe, LA
  • NPI 1245449396
  NPD tax ID
• Daniel Wood PT Inc

  • Specialist
  • Oak Grove, LA
  • NPI 1730382961
  NPD tax ID

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel W Wood, PHYSICAL THERAPIST

  • Specialist
  • Bastrop, LA
  • NPI 1609833847
  Medicare reassignment Care Compare group NPD Authorized official
• Alyssa Brown

  • Occupational Therapist
  • Bastrop, LA
  • NPI 1639826084
  Medicare reassignment Care Compare group NPD
• Janika E Gray, PT, DPT

  • Physical Therapist
  • Bastrop, LA
  • NPI 1871157073
  Medicare reassignment Care Compare group NPD
• Nicholas Andrew Ladart

  • Physical Therapist
  • Bastrop, LA
  • NPI 1487262499

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Elizabeth Anne Wagner, DPT

  • Physical Therapist
  • Columbia, SC
  • NPI 1699080549

  LA

  Medicare reassignment NPD
• Lindsay Sanderlin, MOT-OTR/L

  • Occupational Therapist
  • West Monroe, LA
  • NPI 1720591381
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1275590978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3867 BAYOU ACRES DR",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712209232",
            "telephone_number": "318-283-2080",
            "fax_number": "318-283-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3867 BAYOU ACRES DR",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712209232",
            "telephone_number": "318-283-2080",
            "fax_number": "318-283-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL WOOD PT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-283-2080",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "PT809R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437158",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan C Coston, RN
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• Kimberly N Crnkovic, P.D.
• Jonathan Brett Crosby, D.C.
• Cleothis Cummings
• Steven Darden
• Heather Hollis Davis, FNP-C
• Ijnanya Davis
• Levi Dejohnette III
• Delta Anesthesia Associates

• Specialist in Bastrop, LA
• Providers in Bastrop, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.