Active NPI
Amy Woods, LMP., DPT
- Physical Therapist
- Portland, OR
National Provider Identifier
1619030442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 60753
- Practice address
- 3303 SW Bond Ave
Portland, OR 97239-4501 - Phone
- (503) 494-3151
- NPI assigned
- Dec 19, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA00009970 | WA | |
| Massage Therapist | 225700000X | 20447 | OR | |
| Physical Therapist | 225100000X | 60753 | OR | Primary |
| Physical Therapist | 225100000X | 60459440 | WA |
Addresses
Primary practice location
3303 SW Bond Ave
Portland, OR 97239-4501
Mailing address
5050 SW Landing Dr
301
Portland, OR 97239-5968
Phone (206) 384-0452
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00009970 | WA | MD | Specialist |
| 60459440 | WA | MD | Physical Therapist |
| 20447 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475712000000",
"number": "1619030442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5050 SW LANDING DR",
"address_2": "301",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972395968",
"telephone_number": "206-384-0452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3303 SW BOND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972394501",
"telephone_number": "503-494-3151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "AMY",
"credential": "LMP., DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2016-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00009970",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "20447",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "60753",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "60459440",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.