Organization Active NPI

Howard Physical Therapy Clinic PA

Doing business as Woodridge Physical Therapy

  • Physical Therapist
  • Ocala, FL
National Provider Identifier
1497802755
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3786 Issued in FL
Legal business name
HOWARD PHYSICAL THERAPY CLINIC PA
Doing business as
Woodridge Physical Therapy
Practice address
2340 NE 2ND St Ste 500
Ocala, FL 34470-8220
Phone
(352) 622-1881
Fax
(352) 622-1944
NPI assigned
Jan 5, 2007
Last updated
Nov 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Authorized official

Name
Bruce B Howard, R.P.T.NPI 1386791713
Title
President
Phone
(352) 622-1881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT3786 FL Primary

Addresses

Primary practice location

2340 NE 2ND St Ste 500
Ocala, FL 34470-8220

Mailing address

2340 NE 2ND St Ste 500
Ocala, FL 34470-8220
Phone (352) 622-1881

Other identifiers 2

IdentifierTypeStateIssuer
881097400MedicaidFL
650025233OtherFLRAILROAD MEDICARE ID NBR

Other names 1

  • WOODRIDGE PHYSICAL THERAPY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101103001203 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0244424232 Receives reassigned benefits from 1 practitioner
Practice locations: Ocala, FL

National Provider Directory

National Provider Directory

Locations

2340 NE 2nd St
Ste 500
Ocala, FL 34470
Phone (352) 622-1881

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1497802755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 NE 2ND ST STE 500",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344708220",
            "telephone_number": "352-622-1881",
            "fax_number": "352-622-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 NE 2ND ST STE 500",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344708220",
            "telephone_number": "352-622-1881",
            "fax_number": "352-622-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD PHYSICAL THERAPY CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-622-1881",
        "authorized_official_credential": "R.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT3786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "881097400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID NBR",
            "identifier": "650025233",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOODRIDGE PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.