Active NPI
Bryan Woods
- Orthopedic Physical Therapist
- Albuquerque, NM
National Provider Identifier
1598154379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- A-0850
- Practice address
- 5123 Juan Tabo Blvd NE
Albuquerque, NM 87111-2672 - Phone
- (505) 292-3333
- NPI assigned
- Jan 15, 2015
- Last updated
- Jan 15, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | A-0850 | NM | Primary |
Addresses
Primary practice location
5123 Juan Tabo Blvd NE
Albuquerque, NM 87111-2672
Mailing address
10211 Stratford Ave NW
Albuquerque, NM 87114-4811
Phone (505) 331-2406
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 |
|---|---|---|---|
| A-0850 | NM | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421280000000",
"number": "1598154379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10211 STRATFORD AVE NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871144811",
"telephone_number": "505-331-2406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5123 JUAN TABO BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871112672",
"telephone_number": "505-292-3333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "BRYAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-15",
"last_updated": "2015-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NM",
"license": "A-0850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.