Individual provider Active NPI

Katie Lynn Woodard, OTR

  • Occupational Therapist
  • Madison, AL
National Provider Identifier
1285212779
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6272 Issued in AL
Practice address
8075 Madison Blvd Ste 101
Madison, AL 35758-2042
Phone
(256) 270-9595
NPI assigned
Mar 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6272 AL Primary

Addresses

Primary practice location

8075 Madison Blvd Ste 101
Madison, AL 35758-2042

Mailing address

23809 Thach Rd
Elkmont, AL 35620-3825
Phone (256) 497-1311

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240220002345 AL Practitioner - Occupational Therapist in Private Practice 8325482177 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6272ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Rehabilitation Services Inc CurrentSince Jan 21, 2024 Accepting new patients
Pediatric Therapy Link of North Alabama, LLC PastSince Apr 1, 2021 Accepting new patients

Locations

8075 Madison Blvd
Ste 101
Madison, AL 35758
Phone (256) 270-9595

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.

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1285212779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23809 THACH RD",
            "city": "ELKMONT",
            "state": "AL",
            "postal_code": "356203825",
            "telephone_number": "256-497-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8075 MADISON BLVD STE 101",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582042",
            "telephone_number": "256-270-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "KATIE",
        "middle_name": "LYNN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "6272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.