Michelle Woodbine

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA11397 Issued in FL

Practice address

777 S Douglas Rd
Pembroke Pines, FL 33025-1353

Phone

(954) 276-6244

NPI assigned

Nov 5, 2018

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1609344993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246643",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "305-542-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S DOUGLAS RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330251353",
            "telephone_number": "954-276-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODBINE",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA11397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Wong
• Summer Chung-Lin Wong, DO
• Vincent Wong, MD
• Karen Marie Wood, LMHC
• Willa D Wood
• Lara M Wooding, MD
• Scarlet Paria Woods, PHD
• Emily Grace Woolhiser, DO
• Thomas Frost Woolhiser, D.C.
• World Vision Centers III Inc

• Physical Therapy Assistant in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.