Brandt Allen Wood, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT029879 Issued in PA

Practice address

1012 Water St
Meadville, PA 16335-3468

Phone

(814) 337-2345

NPI assigned

Sep 29, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Novacare Outpatient Rehabilitation East, Inc.

  • Physical Therapy Clinic/Center
  • Ligonier, PA
  • NPI 1487010583

  Physical Therapist

  Medicare reassignment NPD
• Novacare Outpatient Rehabilitation East, Inc.

  • Physical Therapy Clinic/Center
  • Masontown, PA
  • NPI 1932793569
  NPD
• Novacare Outpatient Rehabilitation East Inc

  • Physical Therapy Clinic/Center
  • Ferndale, MI
  • NPI 1245235191
  NPD

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1326710302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 STATE ST",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271710",
            "telephone_number": "172-456-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 WATER ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353468",
            "telephone_number": "814-337-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "BRANDT",
        "middle_name": "ALLEN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2504616901",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dexter Jordan Witchey, PA-C
• Nichole B Witchey, PA-C
• Kristen Woge, M.S., CCC-SLP
• Elizabeth Woloszyn
• James Michael Womer, PTA
• Elizabeth Wood, MS, NCC, LPC
• WSSH Powerback Rehabilitation Services, LLC
• Chere Wyland-Norcross
• Frank J Yohe, M.D.
• Nadine Andrea Yohn, CRNP

• Physical Therapist in Meadville, PA
• Providers in Meadville, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.