Active NPI
Chereny Woodard, DPT
- Physical Therapist
- Stockbridge, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT011012
- Practice address
- 1240 Eagles Landing Pkwy
Suite 300
Stockbridge, GA 30281-5170 - Phone
- (770) 506-4350
- Fax
- (770) 506-9860
- NPI assigned
- Apr 28, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT011012 | GA | Primary |
| Specialist | 174400000X | 8553 | TN |
Addresses
Primary practice location
1240 Eagles Landing Pkwy
Suite 300
Stockbridge, GA 30281-5170
Mailing address
900 Circle 75 Pkwy SE
Suite 1700
Atlanta, GA 30339-3035
Phone (770) 953-6929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8553 | TN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regenerative Orthopaedics and Spine Institute, LLC | Current | Accepting new patients | |
| Piedmont Orthopedics, LLC | Current | Accepting new patients | |
| Regenerative Orthopaedics and Spine Institute, LLC | Current | Accepting new patients | |
| Orthoatlanta, LLC | Past | Accepting new patients |
Locations
105 Collier Rd NW
Ste 2000
Atlanta, GA 30309
Phone (404) 350-1122
900 Circle 75 Pkwy SE
Ste 1700
Atlanta, GA 30339
Phone (770) 953-6929
1265 Highway 54 W
Ste 308
Fayetteville, GA 30214
Phone (678) 216-0771
620 Cherokee St NE
Ste 300
Marietta, GA 30060
Phone (770) 635-1812
1240 Eagles Landing Pkwy
Ste 300
Stockbridge, GA 30281
Phone (770) 506-4350
135 N Park Pl
Ste 210
Stockbridge, GA 30281
Phone (770) 892-0273
Interoperability endpoints
- https://api.platform.athenahealth.com/327/brand/1/csg/21/fhir/r4
- chereny.woodard.1@12239.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Atlanta, GA
- NPI 1114317062
-
- Orthopaedic Surgery Physician
- Stockbridge, GA
- NPI 1568858231
-
- Durable Medical Equipment & Medical Supplies
- Atlanta, GA
- NPI 1043070014
-
- Orthopaedic Surgery Physician
- Aiken, SC
- NPI 1427887157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477008000000",
"number": "1447637459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 CIRCLE 75 PKWY SE",
"address_2": "SUITE 1700",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303393035",
"telephone_number": "770-953-6929",
"fax_number": "770-953-6972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 EAGLES LANDING PKWY",
"address_2": "SUITE 300",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302815170",
"telephone_number": "770-506-4350",
"fax_number": "770-506-9860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODARD",
"first_name": "CHERENY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-28",
"last_updated": "2016-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT011012",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "8553",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.