Active NPI
Woodlin Lareche, PT, DPT
- Physical Therapist
- Allen, TX
National Provider Identifier
1619785276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1401832
- Practice address
- 963 State Highway 121 Ste 1100
Allen, TX 75013-6033 - Phone
- (469) 322-1400
- NPI assigned
- Dec 27, 2024
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1401832 | TX | Primary |
Addresses
Primary practice location
963 State Highway 121 Ste 1100
Allen, TX 75013-6033
Mailing address
151 Pond St
Leominster, MA 01453-3541
Phone (404) 403-6267
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 |
|---|---|---|---|
| 1401832 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735257600000",
"number": "1619785276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 POND ST",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014533541",
"telephone_number": "404-403-6267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "963 STATE HIGHWAY 121 STE 1100",
"city": "ALLEN",
"state": "TX",
"postal_code": "750136033",
"telephone_number": "469-322-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARECHE",
"first_name": "WOODLIN",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-27",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1401832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.