Woodall Performance Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

WOODALL PERFORMANCE PHYSICAL THERAPY LLC

Practice address

5168 Princess Anne Rd Ste 141
Virginia Beach, VA 23462-4230

Phone

(757) 209-2006

NPI assigned

Jun 15, 2023

Organization subpart

No

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

Authorized official

Name

Kirsten WoodallNPI 1457973869

Title

Owner

Phone

(540) 841-0360

Specialties & licenses 1

Addresses

Other names 1

• Onward Virgina Beach Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kirsten Gulick Woodall, PT

  • Physical Therapist
  • Lynchburg, VA
  • NPI 1457973869
  NPD Authorized official

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1457036725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 DARTMOUTH CIR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644605",
            "telephone_number": "540-841-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5168 PRINCESS ANNE RD STE 141",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624230",
            "telephone_number": "757-209-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODALL PERFORMANCE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "WOODALL",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-841-0360"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Onward Virgina Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles C Wood, PA
• Dallas Wood, M.ED,,ATC, CSCS
• James L Wood, MD
• Jill Kimberly Wood, LPC
• Tyler Wood
• Alfloyd Woodard Jr., M.D.
• Briana Woodard, OTR/L
• Robert Woodard, M.D.
• Erica Woodberry
• Peter T. Woodbury, L.C.S.W.

• Physical Therapy Clinic/Center in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Physical Therapy Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.