Shane M Woods, COTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

OTA1226 Issued in CA

Practice address

680 Flinn Ave Unit 38
Moorpark, CA 93021-2076

Phone

(805) 523-2031

Fax

(888) 511-2260

NPI assigned

Dec 11, 2007

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Exovie,LLC

  • Durable Medical Equipment & Medical Supplies
  • Moorpark, CA
  • NPI 1316347792
  NPD Authorized official
• Lorenzo G. Walker, M.D., a Professional Corporation

  • Orthopaedic Hand Surgery Physician
  • Oxnard, CA
  • NPI 1417075490
  NPD (past)

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1376726547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 FLINN AVE UNIT 38",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212076",
            "telephone_number": "805-523-2031",
            "fax_number": "888-511-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 FLINN AVE UNIT 38",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212076",
            "telephone_number": "805-523-2031",
            "fax_number": "888-511-2260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Solar Dr",
            "address_2": "#275",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930362645",
            "country_code": "US",
            "telephone_number": "805-485-7764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODS",
        "first_name": "SHANE",
        "middle_name": "M",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-11",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "OTA1226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheri Widdis, CDA, RDA
• Julie Willlams
• Mark R. Winkler, MD
• Wendy Womack, D.C
• John William Wood, OD
• Xcel Physical Therapy & Wellness Center PC
• Xcelerate Physical Therapy Inc.
• Jeffrey Yokomizo, LMFT
• Ayhan Yoruk, MD
• Yu Dayi Chinese Medicine Inc.

• Physical Medicine & Rehabilitation Physician in Moorpark, CA
• Providers in Moorpark, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.