Active NPI
Brenda Lynn Wood, P.T.A
- Physical Therapy Assistant
- Seaford, DE
National Provider Identifier
1457550303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- J20622
- Practice address
- 1100 Norman Eskridge Hwy
Seaford, DE 19973-1724 - Phone
- (302) 629-3575
- NPI assigned
- Jul 12, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | J20622 | DE | Primary |
Addresses
Primary practice location
1100 Norman Eskridge Hwy
Seaford, DE 19973-1724
Mailing address
28688 Ellis Mill Rd
Seaford, DE 19973-4713
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 |
|---|---|---|---|
| J20622 | DE | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1457550303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28688 ELLIS MILL RD",
"city": "SEAFORD",
"state": "DE",
"postal_code": "199734713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 NORMAN ESKRIDGE HWY",
"city": "SEAFORD",
"state": "DE",
"postal_code": "199731724",
"telephone_number": "302-629-3575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "BRENDA",
"middle_name": "LYNN",
"credential": "P.T.A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-12",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "DE",
"license": "J20622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seaford, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.