Individual provider Active NPI

Julia M. Woodard, OTR, CART, EAS

  • Occupational Therapist
  • Grand Prairie, TX
National Provider Identifier
1386882850
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
102004 Issued in TX
Practice address
4116 S Carrier Pkwy
Suite 280-828
Grand Prairie, TX 75052-3200
Phone
(972) 816-0909
Fax
(972) 642-4999
NPI assigned
Jan 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X
Ergonomics Occupational Therapist 225XE1200X 102004 TX
Occupational Therapist 225X00000X 102004 TX Primary

Addresses

Primary practice location

4116 S Carrier Pkwy
Suite 280-828
Grand Prairie, TX 75052-3200

Mailing address

4116 S Carrier Pkwy
Suite 280-828
Grand Prairie, TX 75052-3200
Phone (972) 816-0909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
102004TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1386882850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4116 S CARRIER PKWY",
            "address_2": "SUITE 280-828",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523200",
            "telephone_number": "972-816-0909",
            "fax_number": "972-642-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4116 S CARRIER PKWY",
            "address_2": "SUITE 280-828",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523200",
            "telephone_number": "972-816-0909",
            "fax_number": "972-642-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "JULIA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "OTR, CART, EAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "TX",
            "license": "102004",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "102004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.