Woodlyn Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

J1-0000806 Issued in DE

Legal business name

WOODLYN PHYSICAL THERAPY

Practice address

1082 Old Churchmans Rd
Suite 101
Newark, DE 19713-2143

Phone

(302) 738-4909

Fax

(302) 738-4905

NPI assigned

Nov 20, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael McKernan, ESQ

Title

Ceo

Phone

(302) 738-4909

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1336320209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1082 OLD CHURCHMANS RD",
            "address_2": "SUITE 101",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132143",
            "telephone_number": "302-738-4909",
            "fax_number": "302-738-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1082 OLD CHURCHMANS RD",
            "address_2": "SUITE 101",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132143",
            "telephone_number": "302-738-4909",
            "fax_number": "302-738-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLYN PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "MCKERNAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "302-738-4909",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0000806",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0001588",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0002002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyea Wood, PA-C
• Shante Nichole Lee Wood, M.ED.
• Anna-Marie H Woodham-Auden, MD
• Calvin Emmanuel Woodland, ED.D., PSY.D.
• Woodlyn Physical Therapy
• Alex Lewis Woods, MD
• Kevina Woodward-Riley, PA-C
• Shinika Word
• Erin J Worden, LPC
• Corine B Wortham

• Physical Therapist in Newark, DE
• Providers in Newark, DE by specialty
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.