Sam Woodworth, ACSM EP

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

Practice address

2160 W 86TH St Ste 101
Indianapolis, IN 46260-1908

Phone

(574) 215-2734

NPI assigned

Apr 18, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1609519784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5136 N KENWOOD AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462082620",
            "telephone_number": "574-215-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 W 86TH ST STE 101",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601908",
            "telephone_number": "574-215-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWORTH",
        "first_name": "SAM",
        "credential": "ACSM EP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sam@woodworthwellness.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2160 W 86th St Ste 101",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462601908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Woodsmall-Reece
• Shanice Woodson
• Woodview Psychology Group
• Brookelynn Woodward
• Jason Frederick Woodward, MD
• Robin R Woody, MSED, MFT
• Zmorea Woody, RBT
• Carl William Wooldridge, D.O.
• Jazmine Woolen
• Creola L Woolery, PT, DPT

• Clinical Exercise Physiologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Exercise Physiologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.