Individual provider Active NPI

Andrea C Wooding, PT

  • Physical Therapist
  • Bakersfield, CA
National Provider Identifier
1316371909
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40534 Issued in CA
Practice address
8200 Stockdale Hwy
Suite B1
Bakersfield, CA 93311-1091
Phone
(661) 827-8959
Fax
(661) 827-1779
NPI assigned
Aug 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 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 PT40534 CA Primary

Addresses

Primary practice location

8200 Stockdale Hwy
Suite B1
Bakersfield, CA 93311-1091

Mailing address

1106 Walnut St # 110
San Luis Obispo, CA 93401-2416
Phone (805) 788-0805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT40534CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthosport Physical Therapy CurrentSince Jan 10, 2021 Accepting new patients
CV Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Locations

5722 Kalanianaole Hwy
Honolulu, HI 96821
Phone (808) 373-1114

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": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1316371909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 WALNUT ST # 110",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012416",
            "telephone_number": "805-788-0805",
            "fax_number": "805-788-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 STOCKDALE HWY",
            "address_2": "SUITE B1",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111091",
            "telephone_number": "661-827-8959",
            "fax_number": "661-827-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODING",
        "first_name": "ANDREA",
        "middle_name": "C",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT40534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.