Individual provider Active NPI

Cheryl Woodside, PT

  • Physical Therapist
  • Wayne, NJ
National Provider Identifier
1285075176
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00895900 Issued in NJ
Practice address
1350 RT 23 N
RMC
Wayne, NJ 07470-5892
Phone
(973) 709-9200
NPI assigned
Jul 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00895900 NJ Primary

Addresses

Primary practice location

1350 RT 23 N
RMC
Wayne, NJ 07470-5892

Mailing address

1350 RT 23 N
RMC
Wayne, NJ 07470-5892
Phone (973) 709-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150625000200 NJ Practitioner - Physical Therapist in Private Practice 0547571036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Medicine Center of New Jersey P.a.Group PAC ID 3779655089, 4 clinicians

Practice addresses (Care Compare)

1350 Route 23
Wayne, NJ 07470-5839

1350 Route 23 N
Wayne, NJ 07470-5839

1350 State Route 23 N
Wayne, NJ 07470-5839
Phone 9737099200205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Medicine Center of New Jersey P.a. CurrentSince Jun 10, 2015 Accepting new patients

Locations

1350 State Route 23
Wayne, NJ 07470
Phone (973) 628-4671

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1285075176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 RT 23 N",
            "address_2": "RMC",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705892",
            "telephone_number": "973-709-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 RT 23 N",
            "address_2": "RMC",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705892",
            "telephone_number": "973-709-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODSIDE",
        "first_name": "CHERYL",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00895900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.