Jason Woody, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2013043081 Issued in MO

Practice address

1100 Club Village Dr Ste 103
Columbia, MO 65203-4411

Phone

(573) 256-2777

NPI assigned

Nov 17, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416182400000",
    "number": "1477959575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 DALE LN",
            "city": "CALIFORNIA",
            "state": "MO",
            "postal_code": "650181158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CLUB VILLAGE DR STE 103",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034411",
            "telephone_number": "573-256-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODY",
        "first_name": "JASON",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2013043081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda L Woods, D.O.
• Christine Woods, LCSW
• Stephanie Marie Woods, RRT
• William L Woods, M.D.
• Michelle Middleton Woodson, M.D.
• Cari M. Worley Henry, M.D.
• Deandra Kay Worley, CCC-SLP
• Abbie Wright, M.D.
• Brian Timothy Wright, M.D.
• Deborah Marie Wright, PH. D.

• Physical Therapy Assistant in Columbia, MO
• Providers in Columbia, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.