Active NPI
Ryan Jeffrey Wooley, D.P.T.
- Physical Therapist
- Austin, TX
National Provider Identifier
1699153684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1258271
- Practice address
- 4300 Westbank Dr
Ste. 152
Austin, TX 78746-6547 - Phone
- (512) 703-2687
- NPI assigned
- May 11, 2015
- 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 | 1258271 | TX | Primary |
Addresses
Primary practice location
4300 Westbank Dr
Ste. 152
Austin, TX 78746-6547
Mailing address
4300 Westbank Dr
Ste. 152
Austin, TX 78746-6547
Phone (512) 703-2687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1258271 | TX | MD | Physical Therapist |
Organizations & group practices 1
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.
-
- Physical Therapist
- New Braunfels, TX
- NPI 1689781338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476316800000",
"number": "1699153684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 WESTBANK DR",
"address_2": "STE. 152",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787466547",
"telephone_number": "512-703-2687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 WESTBANK DR",
"address_2": "STE. 152",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787466547",
"telephone_number": "512-703-2687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOLEY",
"first_name": "RYAN",
"middle_name": "JEFFREY",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-11",
"last_updated": "2016-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1258271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.