Active NPI
Adam Wooden, MPT
- Physical Therapist
- Lebanon, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT030387
- Practice address
- 1701 Cornwall Rd Ste 200
Lebanon, PA 17042-7480 - Phone
- (717) 299-4871
- Fax
- (717) 391-2494
- NPI assigned
- Apr 26, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 36691 | CA | |
| Physical Therapist | 225100000X | PT030387 | PA | Primary |
Addresses
Primary practice location
1701 Cornwall Rd Ste 200
Lebanon, PA 17042-7480
Mailing address
170 N Pointe Blvd
Lancaster, PA 17601-4132
Phone (717) 299-4871
Other practice location 1
1460 Drew Ave Ste 200
Davis, CA 95618-4856
Phone (530) 753-9011
Other practice location 2
212 Willow Valley Lakes Dr Ste 201
Willow Street, PA 17584-9668
Phone (172) 994-8717
Other practice location 3
170 N Pointe Blvd
Lancaster, PA 17601-4132
Phone (717) 299-4871
Other practice location 4
2913 Spooky Nook Rd Ste 100
Manheim, PA 17545-9149
Phone (717) 299-4871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
170 N Pointe Blvd
Lancaster, PA 17601-4132
Phone (717) 299-4871
1701 Cornwall Rd
Suite 200
Lebanon, PA 17042-7480
Phone (717) 299-4871
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36691 | CA | MD | Chiropractor |
| PT 36691 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Assoc of Lancaster LTD | Current | Accepting new patients | |
| Orthopedic Assoc of Lancaster LTD | Current | Accepting new patients | |
| Physical Edge Specialty Services | Physical Therapist | Past | Accepting new patients |
Locations
170 N Pointe Blvd
Lancaster, PA 17601
1701 Cornwall Rd
Ste 200
Lebanon, PA 17042
2913 Spooky Nook Rd
Ste 100
Manheim, PA 17545
212 Willow Valley Lakes Dr
Ste 201
Willow Street, PA 17584
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Lancaster, PA
- NPI 1609835933
-
- Orthopaedic Surgery Physician
- Ephrata, PA
- NPI 1245934686
-
- Physical Therapist
- Davis, CA
- NPI 1740894005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655251200000",
"number": "1689991986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 N POINTE BLVD",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176014132",
"telephone_number": "717-299-4871",
"fax_number": "717-391-2494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 CORNWALL RD STE 200",
"city": "LEBANON",
"state": "PA",
"postal_code": "170427480",
"telephone_number": "717-299-4871",
"fax_number": "717-391-2494"
}
],
"practiceLocations": [
{
"address_1": "1460 Drew Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Davis",
"state": "CA",
"postal_code": "956184856",
"country_code": "US",
"telephone_number": "530-753-9011",
"fax_number": "530-753-9021",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "212 Willow Valley Lakes Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Willow Street",
"state": "PA",
"postal_code": "175849668",
"country_code": "US",
"telephone_number": "172-994-8717",
"fax_number": "717-391-2494",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "170 N Pointe Blvd",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176014132",
"country_code": "US",
"telephone_number": "717-299-4871",
"fax_number": "717-391-2494",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2913 Spooky Nook Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Manheim",
"state": "PA",
"postal_code": "175459149",
"country_code": "US",
"telephone_number": "717-299-4871",
"fax_number": "717-391-2494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOODEN",
"first_name": "ADAM",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-26",
"last_updated": "2022-06-15",
"certification_date": "2022-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 36691",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT030387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.