Individual provider Active NPI

Minh-Tam Le Woods, DPT

  • Physical Therapist
  • Weymouth, MA
National Provider Identifier
1316452048
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23390 Issued in MA
Practice address
541 Main St Ste 203
Weymouth, MA 02190-1857
Phone
(781) 340-1480
Fax
(781) 340-1481
NPI assigned
Dec 4, 2017
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305213510 VA
Physical Therapist 225100000X TN
Physical Therapist 225100000X 13106 TN
Physical Therapist 225100000X 23390 MA Primary

Addresses

Primary practice location

541 Main St Ste 203
Weymouth, MA 02190-1857

Mailing address

73 Newton Rd Unit 101
Plaistow, NH 03865-2440
Phone (978) 388-7272

Other names 1

  • Minh-Tam Le Nguyen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180115000245 MA Practitioner - Physical Therapist in Private Practice 7911266267 Reassigns benefits to 1 organization
I20200601000425 VA Practitioner - Physical Therapist in Private Practice 7911266267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

541 Main St
Suite 203
Weymouth, MA 02190-1857
Phone (781) 340-1480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23390MAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Rehabilitation Network LLC Physical Therapist CurrentSince Jul 5, 2022 Accepting new patients
Orthovirginia, Inc. CurrentSince Feb 3, 2020 Accepting new patients
Orthovirginia, Inc CurrentSince Feb 3, 2020 Accepting new patients
Orthovirginia Inc Physical Therapist Current Accepting new patients
Pinnacle Rehabilitation Network, LLC Physical Therapist CurrentSince Jul 5, 2022 Accepting new patients
Silver Fern Practice, LLC Physical Therapist PastSince Dec 5, 2017 Accepting new patients

Locations

325 Wood Rd
Ste 108
Braintree, MA 02184
Phone (781) 535-6053

340 Wood Rd
Ste 303
Braintree, MA 02184
Phone (781) 535-6053

300 Congress St
Ste 316
Quincy, MA 02169
Phone (617) 481-2000

541 Main St
Ste 203
Weymouth, MA 02190
Phone (781) 340-1480

73 Newton Rd
Unit 101
Plaistow, NH 03865
Phone (978) 388-7272

8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595

1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242

4710 Puddledock Rd
Ste 100
Prince George, VA 23875
Phone (804) 732-0035

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1316452048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 NEWTON RD UNIT 101",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038652440",
            "telephone_number": "978-388-7272",
            "fax_number": "978-388-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 MAIN ST STE 203",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021901857",
            "telephone_number": "781-340-1480",
            "fax_number": "781-340-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "MINH-TAM",
        "middle_name": "LE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213510",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "13106",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "23390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINH-TAM",
            "last_name": "NGUYEN",
            "middle_name": "LE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.