Active NPI
Dale Woolley, DPT
- Physical Therapist
- Concord, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT38437
- Practice address
- 2600 Stanwell Dr
104
Concord, CA 94520-4862 - Phone
- (925) 686-5400
- NPI assigned
- Jan 26, 2012
- Last updated
- Jan 3, 2022
- Sex
- Male
- Sole proprietor
- No
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 | PT38437 | CA | Primary |
Addresses
Primary practice location
2600 Stanwell Dr
104
Concord, CA 94520-4862
Mailing address
3128 Santa Rita Rd Ste B
Pleasanton, CA 94566-8330
Phone (209) 470-0528
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7551 Madison Ave
Citrus Heights, CA 95610-7449
Phone (916) 904-3000
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.11 of 100
- Quality
- 86.24
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT38437 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Pleasanton Physical Therapy Services, Inc. | Physical Therapist | Past | Accepting new patients |
| Essent PRMC LP | Past | Accepting new patients | |
| Advanced Physical Therapy & Ergonomics Inc | Physical Therapist | Past | Accepting new patients |
Locations
7551 Madison Ave
Citrus Hts, CA 95610
Phone (916) 904-3000
2660 W Covell Blvd
Davis, CA 95616
Phone (530) 747-3000
8110 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3955
9390 Big Horn Blvd
Elk Grove, CA 95758
Phone (916) 683-3950
9390 Big Horn Blvd
Ste 120
Elk Grove, CA 95758
1535 River Park Dr
Ste 1000
Sacramento, CA 95815
Phone (916) 286-1000
1535 River Park Dr
Ste 2000
Sacramento, CA 95815
Phone (916) 286-1010
4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761
500 University Ave
Ste 220
Sacramento, CA 95825
Phone (916) 286-8700
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UC Davis Medical Group
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1952998973
-
dba UC Davis Medical Group
- Multi-Specialty Clinic/Center
- Citrus Heights, CA
- NPI 1215917810
-
- Multi-Specialty Clinic/Center
- Davis, CA
- NPI 1912987553
-
- Physical Therapy Clinic/Center
- Pleasanton, CA
- NPI 1699030239
Physical Therapist
-
dba Back on Track Physical Therapy
- Physical Therapist
- Pleasanton, CA
- NPI 1336295138
-
dba Paris Regional Medical Center
- Certified Registered Nurse Anesthetist
- Paris, TX
- NPI 1376541839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1639440357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3128 SANTA RITA RD STE B",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945668330",
"telephone_number": "209-470-0528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 STANWELL DR",
"address_2": "104",
"city": "CONCORD",
"state": "CA",
"postal_code": "945204862",
"telephone_number": "925-686-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOLLEY",
"first_name": "DALE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-26",
"last_updated": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT38437",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1650 Response Rd",
"city": "Sacramento",
"state": "CA",
"country_code": "US",
"postal_code": "958154807",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.