Individual provider Active NPI

Laura Woodard, DPT

  • Physical Therapist
  • Niceville, FL
National Provider Identifier
1285492322
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT41018 Issued in FL
Practice address
1003 College Blvd W Ste 1
Niceville, FL 32578-1069
Phone
(850) 279-4781
NPI assigned
Mar 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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 PT41018 FL Primary

Addresses

Primary practice location

1003 College Blvd W Ste 1
Niceville, FL 32578-1069

Mailing address

1003 College Blvd W Ste 1
Niceville, FL 32578-1069

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250107000774 FL Practitioner - Physical Therapist in Private Practice 5193253052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Axis Physiotherapy Institute, LLCGroup PAC ID 2860825353, 11 clinicians

Practice addresses (Care Compare)

130 Marquis Way
Suite 105
Freeport, FL 32439-4477
Phone (850) 880-6085

339 Racetrack Rd NW
Suite 20
Fort Walton Beach, FL 32547-1581
Phone (850) 374-8158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT41018FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Axis Physiotherapy Institute, LLC Physical Therapist CurrentSince Dec 19, 2024 Accepting new patients

Locations

34894 Emerald Coast Pkwy
Unit 3
Destin, FL 32541

339 Racetrack Rd NW
Ste 20
Ft Walton Bch, FL 32547
Phone (850) 374-8158

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": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1285492322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 COLLEGE BLVD W STE 1",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 COLLEGE BLVD W STE 1",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781069",
            "telephone_number": "850-279-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "LAURA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT41018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.