Grady Woodul, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

628 Sudderth Dr
Ruidoso, NM 88345-6204

Phone

(575) 257-5820

Fax

(575) 257-9560

NPI assigned

May 20, 2024

Last updated

May 20, 2024By the provider in NPPES

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

Enrolled in NM

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of New Mexico School of Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Therapy Associates IncGroup PAC ID 3870695984, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Therapy Associates Inc

  • Physical Therapist
  • Ruidoso, NM
  • NPI 1902991649
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1548009749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7100",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883557100",
            "telephone_number": "575-257-5820",
            "fax_number": "575-257-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 SUDDERTH DR",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883456204",
            "telephone_number": "575-257-5820",
            "fax_number": "575-257-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODUL",
        "first_name": "GRADY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Wilkinson, LPCC
• Cara Wilson
• Sylvia Wilson, BMS
• Judith Wolfson, PROGRAM SUPPORT
• Chris H Woodul, RPH
• Linsey Elizabeth Worley, BMS
• Whitney E Wyers, CNP
• Ilhan Yildiz, M.D.
• Youth Odyssey Inc. (Wilderness Odyssey)
• Alexis Zamora, PTA

• Physical Therapist in Ruidoso, NM
• Providers in Ruidoso, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.

Verify at the official NPI Registry.