Clint Woo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

25672 Issued in MD

Practice address

9837 Wilderness LN
Laurel, MD 20723-5504

Phone

(240) 575-8423

NPI assigned

Dec 15, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Woo Physical Therapy and Wellness

  • Physical Therapy Clinic/Center
  • Glen Burnie, MD
  • NPI 1073139036
  NPD Authorized official
• Virginia Home Therapy LLC

  • Physical Therapy Clinic/Center
  • Manassas, VA
  • NPI 1942802772

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1376087007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9837 WILDERNESS LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207235504",
            "telephone_number": "240-575-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9837 WILDERNESS LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207235504",
            "telephone_number": "240-575-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOO",
        "first_name": "CLINT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffanie C. Winfrey, DDS
• Susanna E Winston, MD
• James Elvis Berile Wirsiy
• Crystal Marie Wissinger, BCBA
• Martha Woldemichael
• Carolyn Ingalls Wood, LCSWC
• Lakeesha Nicole Woods, PHD
• Letisha Woods
• Lorraine Woods, L.C.P.C.
• Wendy Woods, DPM

• Physical Therapist in Laurel, MD
• Providers in Laurel, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.