Active NPI
James Elbern Woods III
- Geriatric Physical Therapist
- Hampton, VA
National Provider Identifier
1417559980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 2305212021
- Practice address
- 2230 Executive Dr
Hampton, VA 23666-2430 - Phone
- (757) 992-8100
- NPI assigned
- Nov 10, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 2305212021 | VA | Primary |
Addresses
Primary practice location
2230 Executive Dr
Hampton, VA 23666-2430
Mailing address
533 Dafia Dr
Hampton, VA 23666-2253
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2305212021 | Other | VA | PT LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2305212021 | VA | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1417559980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 DAFIA DR",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236662253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 EXECUTIVE DR",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236662430",
"telephone_number": "757-992-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "JAMES",
"middle_name": "ELBERN",
"name_suffix": "III",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-10",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "VA",
"license": "2305212021",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "2305212021",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.