Individual provider Active NPI

Barry A Wood, RPT

  • Orthopedic Physical Therapist
  • Colton, CA
National Provider Identifier
1346508983
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT24668 Issued in CA
Practice address
900 E Washington St
Ste. 100
Colton, CA 92324-7111
Phone
(909) 433-3200
NPI assigned
May 2, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT24668 CA Primary

Addresses

Primary practice location

900 E Washington St
Ste. 100
Colton, CA 92324-7111

Mailing address

900 E Washington St
Ste. 100
Colton, CA 92324-7111
Phone (909) 433-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171130000930 CA Practitioner - Physical Therapist in Private Practice 5890052732 Reassigns benefits to 1 organization
I20240207002998 AZ Practitioner - Physical Therapist in Private Practice 5890052732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1791 Mesquite Ave
Lake Havasu City, AZ 86403-5648
Phone (928) 855-4248

Merit-based Incentive Payment System (MIPS)

Final score
84.06 of 100Reported as group
Quality
68.27
Promoting interoperability
100
Improvement activities
40
Cost
78.59

Merit-based Incentive Payment System (MIPS)

Final score
88.87 of 100Reported as group
Quality
72.13
Promoting interoperability
80
Improvement activities
40
Cost
77.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT24668CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Orthopedic Institute LLC Physical Therapist Current Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Nov 13, 2019 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Nov 13, 2019 Accepting new patients
Lakeside Orthopedic Institute LLC CurrentSince Feb 1, 2024 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Lakeside Orthopedic Institute LLC Physical Therapist CurrentSince Feb 1, 2024 Accepting new patients

Locations

1791 Mesquite Ave
Lk Havasu Cty, AZ 86403
Phone (928) 855-1444

25 Riviera Blvd
Lk Havasu Cty, AZ 86403
Phone (928) 505-7246

900 E Washington St
Ste 200
Colton, CA 92324
Phone (909) 882-5867

25455 Barton Rd
Loma Linda, CA 92354
Phone (909) 558-2808

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

11406 Loma Linda Dr
Ste 300
Loma Linda, CA 92354
Phone (909) 558-6277

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

399 E 21st St
Sn Bernrdno, CA 92404
Phone (909) 882-2266

Interoperability endpoints

  • Direct secure messaging: barry.wood@1174.chartlogic.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1346508983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E WASHINGTON ST",
            "address_2": "STE. 100",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923247111",
            "telephone_number": "909-433-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E WASHINGTON ST",
            "address_2": "STE. 100",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923247111",
            "telephone_number": "909-433-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "BARRY",
        "middle_name": "A",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT24668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.