Jonathan Eric Wood

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5466 Issued in TN

Practice address

3415 W End Ave Apt 1011D
Nashville, TN 37203-1027

Phone

(386) 295-9380

NPI assigned

Feb 22, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1316531288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 W END AVE APT 1011D",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031027",
            "telephone_number": "386-295-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 W END AVE APT 1011D",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031027",
            "telephone_number": "386-295-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JONATHAN",
        "middle_name": "ERIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT15930",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "5466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5466",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OT15930",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ageility.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4735 NW 7th Ct",
            "city": "Boynton Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334269341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "aegilityrehab.com",
            "affiliation": "N",
            "endpointDescription": "Connect URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4735 NW 7th Ct",
            "city": "Boynton Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334269341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• George Wallace Wood, M.D.
• Hannah Wood
• Isabella Wood, PA-C
• Isabella Grace Wood
• Jeannie Margo Wood, FNP-BC, MSN, RN
• Kathryn Rose Wood
• Kathy Herndon Wood, M.ED., RN
• Lawrence Darnell Wood
• Mary Elizabeth Wood, PH.D.
• Mary Kay Wood, R.N.

• Occupational Therapist in Nashville, TN
• Providers in Nashville, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.