Active NPI
Jamie Renee Woodruff, P.T.
- Physical Therapist
- Harrisburg, PA
National Provider Identifier
1558486753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT006831L
- Practice address
- 1901 N 5TH St
Harrisburg, PA 17102-1510 - Phone
- (717) 221-7900
- Fax
- (717) 221-7908
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT006831L | PA | Primary |
| Physical Therapist | 225100000X | 2305003183 | VA |
Addresses
Primary practice location
1901 N 5TH St
Harrisburg, PA 17102-1510
Mailing address
1125 Skyview Dr
Milton, PA 17847-7607
Phone (570) 742-7099
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT006831L | PA | MD | Physical Therapist |
| 2305003183 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558486753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 SKYVIEW DR",
"city": "MILTON",
"state": "PA",
"postal_code": "178477607",
"telephone_number": "570-742-7099",
"fax_number": "570-742-6015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 N 5TH ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171021510",
"telephone_number": "717-221-7900",
"fax_number": "717-221-7908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODRUFF",
"first_name": "JAMIE",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT006831L",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305003183",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, PA
- Katherine K. Won, O.D.
- Wood & Myers Oral and Maxillofacial Surgery, PC (Wood & Myers Oral & Maxillofacial Surgeons)
- Gregory Douglas Wood, MD
- Linda Marie Woodin, CRNP
- Ruth Hope Woodlen, M.DIV.
- Michelle Woodson
- Nina Beth Woolf, M.S.
- Alyce Wooten, CERTIFIED HAIR LOSS
- Julie L Worthington, MD
- Worthy Ground Counseling LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.