Individual provider Active NPI

Jeffrey Wood, MPT

  • Physical Therapist
  • Voorhees, NJ
National Provider Identifier
1336296763
Registry record updated Apr 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA0696300 Issued in NJ
Practice address
805 Cooper Road
Suite 6
Voorhees, NJ 08043-4305
Phone
(856) 751-8881
Fax
(856) 751-8810
NPI assigned
Jan 5, 2007
Last updated
Apr 30, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA06963 NJ
Physical Therapist 225100000X 40QA0696300 NJ Primary

Addresses

Primary practice location

805 Cooper Road
Suite 6
Voorhees, NJ 08043-4305

Mailing address

805 Cooper Road
Suite 6
Voorhees, NJ 08043-4305
Phone (856) 751-8881

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
40QA06963NJMDPhysical Therapist
40QA0696300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Breakthru Physical Therapy LLC Physical Therapist Past Accepting new patients

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, 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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272585600000",
    "number": "1336296763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 COOPER ROAD",
            "address_2": "SUITE 6",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434305",
            "telephone_number": "856-751-8881",
            "fax_number": "856-751-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 COOPER ROAD",
            "address_2": "SUITE 6",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434305",
            "telephone_number": "856-751-8881",
            "fax_number": "856-751-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JEFFREY",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2010-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA06963",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA0696300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; 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.