Callie Jeannine Woodring, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA12488 Issued in FL

Practice address

1103 Cedar Street
Leesburg, FL 34748-6320

Phone

(910) 249-0460

NPI assigned

Mar 11, 2013

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1700127115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 CEDAR ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484010",
            "telephone_number": "910-249-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 CEDAR STREET",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486320",
            "telephone_number": "910-249-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRING",
        "first_name": "CALLIE",
        "middle_name": "JEANNINE",
        "name_prefix": "Ms.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-11",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA12488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wings of Love
• Wings of Love of Leesburg Transport, LLC
• Wings of Love of Leesburg, LLC
• David Alan Wollenschlaeger, D.M.D.
• Alan Wong, D.O.
• Ashley R Worrell, PTA
• Efram Dyonne Wright
• Chineta S Yates, PHARMD
• Kelly Yoder
• Diana Young, RD, LD/N

• Occupational Therapy Assistant in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.