Andrea Lynn Woodring, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

5501015784 Issued in MI

Practice address

205 N East Ave
Jackson, MI 49201-1753

Phone

(517) 205-4704

NPI assigned

Aug 28, 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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Comprehensive Speech and Therapy Center, Inc

  • Behavior Analyst
  • Jackson, MI
  • NPI 1447848049
  NPD (past)
• Comprehensive Speech and Therapy Center, Inc

  • Rehabilitation Clinic/Center
  • Jackson, MI
  • NPI 1457473480
  NPD (past)

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1649751678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14400 ADDISON RD",
            "city": "ADDISON",
            "state": "MI",
            "postal_code": "492209543",
            "telephone_number": "517-795-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N EAST AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011753",
            "telephone_number": "517-205-4704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Laurence Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492022980",
            "country_code": "US",
            "telephone_number": "517-750-4777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODRING",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5501015784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Webster Christian Wood, LMSW
• Izobele Jean Wood
• Taylor Wood
• Gregory A. Woodard, RPH
• Paige E Woodman
• Micehelle Lee Woods, PERSONAL TRAINER
• Victoria Sue Woods
• Woodward Detroit CVS LLC (CVS Pharmacy #16198)
• Woodward Detroit CVS, L.L.C. (CVS Pharmacy #08268)
• Audrey I Woodward, CRNA

• Physical Medicine & Rehabilitation Physician in Jackson, MI
• Providers in Jackson, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.