Individual provider Active NPI

John Aaron Woodard, PT

  • Physical Therapist
  • Venice, FL
National Provider Identifier
1396856779
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT33121 Issued in FL
Practice address
744 The Rialto
Venice, FL 34285-3524
Phone
(941) 484-5500
Fax
(941) 484-5510
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 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 PT33121 FL Primary

Addresses

Primary practice location

744 The Rialto
Venice, FL 34285-3524

Mailing address

744 The Rialto
Venice, FL 34285-3524
Phone (941) 484-5500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220826002946 FL Practitioner - Physical Therapist in Private Practice 2961499132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Handworks Therapy LCGroup PAC ID 1951316264, 6 clinicians

Practice addresses (Care Compare)

744 The Rialto
Venice, FL 34285-3524
Phone (941) 484-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT33121FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premiere Physical Therapy & Sports Injury Rehabilitation LLC Physical Therapist Current Accepting new patients
Handworks Therapy, L.C. Physical Therapist CurrentSince Aug 24, 2022 Accepting new patients
Premiere Physical Therapy & Sport Rehabilitation Physical Therapist CurrentSince Sep 1, 1997 Accepting new patients

Locations

1503 S McCall Rd
Englewood, FL 34223
Phone (941) 475-5880

14283 Tamiami Trl
North Port, FL 34287
Phone (941) 423-5576

744 The Rialto
Venice, FL 34285
Phone (941) 484-5500

320 E Carpenter St
Ste 1B
Springfield, IL 62702
Phone (217) 744-8000

1226 N Springfield St
Virden, IL 62690
Phone (217) 965-5100

Organizations & group practices 3

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1396856779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 THE RIALTO",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342853524",
            "telephone_number": "941-484-5500",
            "fax_number": "941-484-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 THE RIALTO",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342853524",
            "telephone_number": "941-484-5500",
            "fax_number": "941-484-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "JOHN",
        "middle_name": "AARON",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.