Organization Active NPI

Dan Wood Physical Therapy

  • Specialist
  • Monroe, LA
National Provider Identifier
1346563111
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
Z12328 Issued in LA
Legal business name
DAN WOOD PHYSICAL THERAPY
Practice address
1828 Tower Dr
Monroe, LA 71201-4938
Phone
(318) 338-2080
NPI assigned
Mar 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Authorized official

Name
Mr. Daniel W. Wood, PHYSICAL THERAPY
Title
Therapist
Phone
(318) 283-2080

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Z12328 LA Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X

Addresses

Primary practice location

1828 Tower Dr
Monroe, LA 71201-4938

Mailing address

3867 Bayou Acres Dr
Bastrop, LA 71220-9232
Phone (318) 283-2080

National Provider Directory

National Provider Directory
Tax ID family
Dan Wood Physical Therapy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1828 Tower Dr
Monroe, LA 71201
Phone (318) 338-2081

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1346563111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3867 BAYOU ACRES DR",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712209232",
            "telephone_number": "318-283-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 TOWER DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712014938",
            "telephone_number": "318-338-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN WOOD PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "318-283-2080",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICAL THERAPY"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "Z12328",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.