Elaine F Woidke, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1096 Issued in AZ

Practice address

215 W Lodge Dr
Tempe, AZ 85283-3652

Phone

(480) 730-4103

Fax

(480) 897-0014

NPI assigned

Jan 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pioneer Pet, LLC

  • Diagnostic Radiology Physician
  • Tempe, AZ
  • NPI 1265401996
  NPD (past)
• The Centers for Habilitation

  • Contractor
  • Tempe, AZ
  • NPI 1376623488
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689728420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 W PAMPA CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027851",
            "telephone_number": "480-201-5275",
            "fax_number": "480-897-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W LODGE DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833652",
            "telephone_number": "480-730-4103",
            "fax_number": "480-897-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOIDKE",
        "first_name": "ELAINE",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "1096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Michelle Withee, FNP-C
• Alyssa Wittman
• Wliaz Support Group, PLC
• Tamrat Wodajo
• Deanna L. Woeller, N.M.D.
• Sean F Wolfort, M.D.
• Gabrielle Womack
• Yaqqira Hana-Michelle Womack, N.M.D.
• Women's Health Innovations of Arizona
• Amber Wonder, LPC

• Physical Therapist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.