Individual provider Active NPI

Colton Woodbury, DC

  • Chiropractor
  • Fort Myers, FL
National Provider Identifier
1457052466
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14456 Issued in FL
Practice address
13461 Parker Commons Blvd Ste 203
Fort Myers, FL 33912-1839
Phone
(701) 880-8911
NPI assigned
Mar 15, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH14456 FL Primary

Addresses

Primary practice location

13461 Parker Commons Blvd Ste 203
Fort Myers, FL 33912-1839

Mailing address

13461 Parker Commons Blvd Ste 203
Fort Myers, FL 33912-1839
Phone (701) 880-8911

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230412000305 FL Practitioner - Chiropractic 8224403944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13461 Parker Commons Blvd
Suite 203
Fort Myers, FL 33912-1839
Phone (239) 768-3005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH14456FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Family Chiropractic PLLC Chiropractor CurrentSince Mar 19, 2023 Accepting new patients

Locations

13461 Parker Commons Blvd
Ste 203
Fort Myers, FL 33912
Phone (239) 768-3005

Organizations & group practices 2

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": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1457052466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13461 PARKER COMMONS BLVD STE 203",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121839",
            "telephone_number": "701-880-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13461 PARKER COMMONS BLVD STE 203",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121839",
            "telephone_number": "701-880-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODBURY",
        "first_name": "COLTON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

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