Individual provider Active NPI

Caroline Woodard, DPT

  • Physical Therapist
  • Johns Creek, GA
National Provider Identifier
1376158337
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014693 Issued in GA
Practice address
11720 Medlock Bridge Rd Ste 550
Johns Creek, GA 30097-2505
Phone
(678) 364-7195
Fax
(678) 681-9034
NPI assigned
Sep 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT014693 GA Primary

Addresses

Primary practice location

11720 Medlock Bridge Rd Ste 550
Johns Creek, GA 30097-2505

Mailing address

PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201029002390 GA Practitioner - Physical Therapist in Private Practice 4789094947 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Fox Rehabilitation Ga, LLCGroup PAC ID 6800162298, 109 clinicians

Practice addresses (Care Compare)

Duluth, GA 30097
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc Physical Therapist CurrentSince Oct 5, 2020 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Oct 5, 2020 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jun 1, 2022 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jun 1, 2022 Accepting new patients
Fox Rehabilitation Ga, LLC Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

12850 Highway 9 N
Ste 1050
Alpharetta, GA 30004
Phone (678) 332-5800

2850 Holcomb Bridge Rd
Ste 140A
Alpharetta, GA 30022
Phone (678) 585-7921

2900 Peachtree Rd NW
Ste 208
Atlanta, GA 30305
Phone (678) 365-3588

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

11720 Medlock Bridge Rd
Ste 550
Johns Creek, GA 30097
Phone (678) 364-7195

3460 Sandy Plains Rd
Unit 610
Marietta, GA 30066
Phone (678) 631-5878

5450 Peachtree Pkwy
Ste 1F
Peachtree Corners, GA 30092
Phone (678) 823-6100

11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592

10800 Alpharetta Hwy
Ste 176
Roswell, GA 30076
Phone (678) 364-7195

1155 Concord Rd SE
Ste 210
Smyrna, GA 30080
Phone (678) 293-0250

Organizations & group practices 5

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": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1376158337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11720 MEDLOCK BRIDGE RD STE 550",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300972505",
            "telephone_number": "678-364-7195",
            "fax_number": "678-681-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "CAROLINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.