Active NPI
Mary Ellen Woods, PT
- Physical Therapist
- Danville, VA
National Provider Identifier
1487860631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305202287
- Practice address
- 109 Bridge St Ste 300
Danville, VA 24541-1222 - Phone
- (434) 793-4711
- Fax
- (434) 797-2514
- NPI assigned
- May 15, 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 Therapist | 225100000X | 2305202287 | VA | Primary |
Addresses
Primary practice location
109 Bridge St Ste 300
Danville, VA 24541-1222
Mailing address
109 Bridge St Ste 300
Danville, VA 24541-1222
Phone (434) 793-4711
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487860631 | Medicaid | VA | |
| 2305202287 | Other | VA | STATE OF VIRGINIA LICENSE |
Other names 1
- Mary Woods
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Duke University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
109 Bridge St
Apt 300
Danville, VA 24541-1241
Phone (434) 793-4711
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greensboro Pathology, LLC | Current | Accepting new patients | |
| Danville Physician Practices LLC | Current | Accepting new patients | |
| Danville Physician Practices LLC | Current | Accepting new patients | |
| Spectrum Medical Inc | Current | Accepting new patients |
Locations
142 S Main St
Danville, VA 24541
Phone (434) 799-2100
125 Executive Dr
Ste A
Danville, VA 24541
Phone (434) 793-4711
Interoperability endpoints
- https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Danville, VA
- NPI 1629022868
-
- Orthopaedic Surgery Physician
- Danville, VA
- NPI 1861597072
-
- Diagnostic Radiology Physician
- Danville, VA
- NPI 1265243612
-
- Clinical Medical Laboratory
- Greensboro, NC
- NPI 1952396202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591747200000",
"number": "1487860631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 BRIDGE ST STE 300",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245411222",
"telephone_number": "434-793-4711",
"fax_number": "434-797-2514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 BRIDGE ST STE 300",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245411222",
"telephone_number": "434-793-4711",
"fax_number": "434-797-2514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "MARY",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305202287",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1487860631",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF VIRGINIA LICENSE",
"identifier": "2305202287",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "WOODS",
"credential": "PT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Danville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.