Individual provider Active NPI

Kirsten Gulick Woodall, PT

  • Physical Therapist
  • Lynchburg, VA
National Provider Identifier
1457973869
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305213623 Issued in VA
Practice address
20311 Timberlake Rd Ste B
Lynchburg, VA 24502-7203
Phone
(434) 237-6812
Fax
(434) 509-1695
NPI assigned
May 8, 2020
Last updated
Aug 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305213623 VA Primary

Addresses

Primary practice location

20311 Timberlake Rd Ste B
Lynchburg, VA 24502-7203

Mailing address

20347 Timberlake Rd Ste B
Lynchburg, VA 24502-7352
Phone (434) 352-5799

Other names 1

  • Kirsten Marie Gulick Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305213623VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Woodall Performance Physical Therapy LLC Current Accepting new patients
Rehabilitation Associates of Central Virginia, Inc. Physical Therapist CurrentSince Jun 14, 2020 Accepting new patients

Locations

1111 Corporate Park Dr
Ste B
Forest, VA 24551
Phone (434) 525-4851

20311 Timberlake Rd
#B
Lynchburg, VA 24502
Phone (434) 237-6812

20347 Timberlake Rd
Ste B
Lynchburg, VA 24502
Phone (434) 237-6812

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1457973869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20347 TIMBERLAKE RD STE B",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245027352",
            "telephone_number": "434-352-5799",
            "fax_number": "434-509-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20311 TIMBERLAKE RD STE B",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245027203",
            "telephone_number": "434-237-6812",
            "fax_number": "434-509-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODALL",
        "first_name": "KIRSTEN",
        "middle_name": "GULICK",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-08",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "GULICK",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.